Provider First Line Business Practice Location Address:
2505 DALLAS HWY.
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE NORTHWEST COBB MEDICAL OFFICE
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-792-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006