Provider First Line Business Practice Location Address:
1745 PEACHTREE ST STE U
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE HEALTH CARE TEAM A
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-888-7646
Provider Business Practice Location Address Fax Number:
404-888-7647
Provider Enumeration Date:
08/18/2006