Provider First Line Business Practice Location Address:
MERCER UNIVERSITY SCHOOL OF MEDICINE DEPT OF PATHOLOGY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MACON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31207-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-301-4071
Provider Business Practice Location Address Fax Number:
478-301-5489
Provider Enumeration Date:
06/18/2019