Provider First Line Business Practice Location Address:
1670 CLAIRMONT ROAD (ATLANTA)
Provider Second Line Business Practice Location Address:
AUDIOLOGY AND SPEECH PATHOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
DECATUR
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-321-6111
Provider Business Practice Location Address Fax Number:
404-728-5074
Provider Enumeration Date:
07/24/2006