Provider First Line Business Practice Location Address:
1 MEDICAL ARTS CTR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31405-4414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-354-2232
Provider Business Practice Location Address Fax Number:
912-354-6656
Provider Enumeration Date:
06/28/2006