Provider First Line Business Practice Location Address:
ATLANTA VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1670 CLAIRMONT ROAD
Provider Business Practice Location Address City Name:
DECATUR
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30033-9819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-728-7748
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2006