Provider First Line Business Practice Location Address:
1601 FAIR ROAD SUITE 1200
Provider Second Line Business Practice Location Address:
MEDICAL CENTER PHARMACY AT COTTON RIDGE
Provider Business Practice Location Address City Name:
STATESBORO
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-681-2333
Provider Business Practice Location Address Fax Number:
912-871-5039
Provider Enumeration Date:
01/17/2014