Provider First Line Business Practice Location Address:
60 HOSPITAL RD
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPT
Provider Business Practice Location Address City Name:
NEWMAN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30263
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-304-4062
Provider Business Practice Location Address Fax Number:
770-237-4539
Provider Enumeration Date:
11/21/2006