Provider First Line Business Practice Location Address:
ATHENS VA OUTPATIENT CLINIC
Provider Second Line Business Practice Location Address:
9249 HIGHWAY 29 NORTH
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30601-1400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-227-4548
Provider Business Practice Location Address Fax Number:
706-227-4538
Provider Enumeration Date:
07/29/2005