Provider First Line Business Practice Location Address:
138 W GIBSON ST
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
HARTWELL
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30643-1847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-693-0000
Provider Business Practice Location Address Fax Number:
954-693-0005
Provider Enumeration Date:
02/02/2007