Provider First Line Business Practice Location Address:
201 HOSPITAL RD
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30114-2408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-851-6500
Provider Business Practice Location Address Fax Number:
770-237-1124
Provider Enumeration Date:
03/14/2006