Provider First Line Business Practice Location Address:
DEPARTMENT OF NEPHROLOGY
Provider Second Line Business Practice Location Address:
2400 MOUNT ZION PARKWAY
Provider Business Practice Location Address City Name:
JONESBORO
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-603-3828
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2006