Provider First Line Business Practice Location Address:
870 COLLINS HILL RD
Provider Second Line Business Practice Location Address:
PRIMARY CARE CENTER OF GEORGIA, INC
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-377-0900
Provider Business Practice Location Address Fax Number:
678-377-6556
Provider Enumeration Date:
10/03/2006