Provider First Line Business Practice Location Address:
42 & 44 MEDICAL ARTS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-354-5780
Provider Business Practice Location Address Fax Number:
912-354-5781
Provider Enumeration Date:
09/16/2008