Provider First Line Business Practice Location Address:
3405 MIKE PADGETT HWY
Provider Second Line Business Practice Location Address:
ATTENTION PATIENT ACCOUNTS
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30906-3815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-792-7026
Provider Business Practice Location Address Fax Number:
706-792-7314
Provider Enumeration Date:
12/04/2013