Provider First Line Business Practice Location Address:
3005 PEACHTREE RD #100 KINDBODY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-563-2639
Provider Business Practice Location Address Fax Number:
470-468-9357
Provider Enumeration Date:
12/16/2005