Provider First Line Business Practice Location Address:
WITS DONALD GORDON MEDICAL CENTRE
Provider Second Line Business Practice Location Address:
18 ETON ROAD
Provider Business Practice Location Address City Name:
PARKTOWN
Provider Business Practice Location Address State Name:
GAUTENG
Provider Business Practice Location Address Postal Code:
2193
Provider Business Practice Location Address Country Code:
ZA
Provider Business Practice Location Address Telephone Number:
11-356-6516
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2006