Provider First Line Business Practice Location Address:
6325 W JOHNS XING
Provider Second Line Business Practice Location Address:
EMORY JOHNS CREEK HOSPITAL - HOSPITAL MEDICINE DEPT
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30097-1530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-778-6382
Provider Business Practice Location Address Fax Number:
404-778-5495
Provider Enumeration Date:
07/18/2006