Provider First Line Business Practice Location Address:
29709 B ST
Provider Second Line Business Practice Location Address:
CONNELLY HEALTH CLINIC
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-787-6036
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/12/2019