Provider First Line Business Practice Location Address:
3079 PEACHTREE INDUSTRIAL BLVD
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPT.
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30097-2215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-945-6133
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2008