Provider First Line Business Practice Location Address:
341 PONCE DE LEON AVE
Provider Second Line Business Practice Location Address:
GRADY INFECTIOUS DISEASE PROGRAM, WOMEN'S CLINIC
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30308-1014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-616-6309
Provider Business Practice Location Address Fax Number:
404-616-9898
Provider Enumeration Date:
05/09/2006