Provider First Line Business Practice Location Address:
PHOEBE PUTNEY MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
417 THIRD AVE, SUITE 300
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31702-1828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-312-0300
Provider Business Practice Location Address Fax Number:
229-312-0295
Provider Enumeration Date:
07/05/2006