Provider First Line Business Practice Location Address:
EAST CENTRAL REGIONAL HOSPITAL,
Provider Second Line Business Practice Location Address:
3405 MIKE PADGETT HWY,
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-304-4393
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2021