Provider First Line Business Practice Location Address:
1000 CLAYTON VILLAGE
Provider Second Line Business Practice Location Address:
CLAYTON STATE UNIVERSITY, SCHOOL OF NURSING COMMUNITY
Provider Business Practice Location Address City Name:
MORROW
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-466-5590
Provider Business Practice Location Address Fax Number:
678-466-4999
Provider Enumeration Date:
01/23/2017