Provider First Line Business Practice Location Address:
265 BOULEVARD SE 4TH FLOOR
Provider Second Line Business Practice Location Address:
FULTON COUNTY DEPT OF HEALTH AND WELLNESS
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-730-1636
Provider Business Practice Location Address Fax Number:
404-730-1629
Provider Enumeration Date:
11/01/2006