Provider First Line Business Practice Location Address:
2004 PEACHTREE RD NW
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PULMONOLOGY
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30309-1404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-504-2650
Provider Business Practice Location Address Fax Number:
404-351-7717
Provider Enumeration Date:
12/01/2006