Provider First Line Business Practice Location Address:
1600 CLIFTON ROAD
Provider Second Line Business Practice Location Address:
CDC, MS E-02 DIVISION OF STD PREVENTION
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-718-8648
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/10/2010