Provider First Line Business Practice Location Address:
SOUTHERN REGIONAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
11 UPPER RIVERDALE RD.
Provider Business Practice Location Address City Name:
RIVERDAL
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-991-8026
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2024