Provider First Line Business Practice Location Address:
3550 PRESTON RIDGE ROAD
Provider Second Line Business Practice Location Address:
KP ALPHANETTA MEDICAL CENTER
Provider Business Practice Location Address City Name:
ALPHANETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-663-3303
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2006