Provider First Line Business Practice Location Address:
717 BOHLER AVE
Provider Second Line Business Practice Location Address:
FIRST IMEX CORP
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-237-4793
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2006