Provider First Line Business Practice Location Address:
KORITZ CLINIC 201 INDEPENDENCE DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39710-7139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-434-2292
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2006