Provider First Line Business Practice Location Address:
EMORY SPORTS MEDICINE COMPLEX
Provider Second Line Business Practice Location Address:
1968 HAWKS LANE
Provider Business Practice Location Address City Name:
BROOKHAVEN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-778-6330
Provider Business Practice Location Address Fax Number:
404-778-6370
Provider Enumeration Date:
07/16/2021