Provider First Line Business Practice Location Address:
1200 NORTHSIDE FORSYTH DR
Provider Second Line Business Practice Location Address:
NORTHSIDE EMERGENCY ASSOCIATES
Provider Business Practice Location Address City Name:
CUMMING
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30041-7659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-851-6936
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/12/2007