Provider First Line Business Practice Location Address:
3550 PRESTON RIDGE ROAD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE ALPHARETTA MEDICAL CENTER
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-663-3110
Provider Business Practice Location Address Fax Number:
870-535-4716
Provider Enumeration Date:
04/19/2006