Provider First Line Business Practice Location Address:
GOVERNMENT AND HEALTH COMPLES
Provider Second Line Business Practice Location Address:
BUILDING 4 HARRISON ST.
Provider Business Practice Location Address City Name:
GEORGETOWN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
39854
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-334-0900
Provider Business Practice Location Address Fax Number:
229-334-0906
Provider Enumeration Date:
01/29/2007