Provider First Line Business Practice Location Address:
2525 CUMBERLAND PARKWAY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-431-4235
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2005