Provider First Line Business Practice Location Address:
1841 CLIFTON RD NE RM 509
Provider Second Line Business Practice Location Address:
WESLEY WOODS HEALTH CENTER
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30329-4021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-728-4751
Provider Business Practice Location Address Fax Number:
404-712-8145
Provider Enumeration Date:
09/04/2013