Provider First Line Business Practice Location Address:
KAISER PERMANENTE 3495 PIEDMONT RD, NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-644-6598
Provider Business Practice Location Address Fax Number:
404-963-2243
Provider Enumeration Date:
02/23/2018