Provider First Line Business Practice Location Address:
950 PRINCE AVE
Provider Second Line Business Practice Location Address:
ATHENS AREA DERMATOLOGY
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-369-7546
Provider Business Practice Location Address Fax Number:
706-369-6788
Provider Enumeration Date:
12/01/2006