Provider First Line Business Practice Location Address:
1100 LAKE HEARN DRIVE, NE STE'S 250 & 500
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE SANDY SPRINGS MEDICAL CENTER
Provider Business Practice Location Address City Name:
SANDY SPRINGS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-845-4500
Provider Business Practice Location Address Fax Number:
212-584-5450
Provider Enumeration Date:
11/30/2010