Provider First Line Business Practice Location Address:
EMORY UNIVERSITY HOSPITAL
Provider Second Line Business Practice Location Address:
1364 CLIFTON RD, NE, ROOM C179-B
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:
404-712-0585
Provider Business Practice Location Address Fax Number:
404-712-4780
Provider Enumeration Date:
09/20/2006