Provider First Line Business Practice Location Address:
82 COLLEGE CIRCLE
Provider Second Line Business Practice Location Address:
NORTH GEORGIA COLLEGE & STATE UNIVERSITY
Provider Business Practice Location Address City Name:
DAHLONEGA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30597
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-864-1469
Provider Business Practice Location Address Fax Number:
706-864-1493
Provider Enumeration Date:
05/15/2007