Provider First Line Business Practice Location Address:
6335 HOSPITAL PARKWAY, SUITE 203
Provider Second Line Business Practice Location Address:
EMORY UNIVERSITY-DEPARTMENT OF SURGERY, EMORY JOHN
Provider Business Practice Location Address City Name:
JOHNS CREEK
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30097
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-843-5400
Provider Business Practice Location Address Fax Number:
679-843-5449
Provider Enumeration Date:
11/10/2020