Provider First Line Business Practice Location Address:
DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE HB3014
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30912-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-647-9550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2023