Provider First Line Business Practice Location Address:
1639 CLIFTON RD. 4TH FLOOR BLDG A
Provider Second Line Business Practice Location Address:
DEPT. OF OBSTETRICS AND GYNECOLOGY
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-778-3401
Provider Business Practice Location Address Fax Number:
404-778-3527
Provider Enumeration Date:
04/15/2011