Provider First Line Business Practice Location Address:
EMORY UNIVERSITY SCHOOL OF MEDICINE, 1365 CLIFTON ROAD
Provider Second Line Business Practice Location Address:
BLDG B, 6TH FLOOR
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30322-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-366-7989
Provider Business Practice Location Address Fax Number:
404-712-2617
Provider Enumeration Date:
07/07/2015