GRN CSB

LAWRENCEVILLE, GA
NPI1497046882
Entity TypeOrganization
Authorized ContactJACK E UNDERWOOD
Clinician
770-339-2259
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: GA  APC002422)
Enumeration Date2011-04-20
Last Update Date2011-04-20
Business Address
GRN CSB
490 S PERRY ST
LAWRENCEVILLE, GA 30046-4837
Phone number: 770-339-2321
Mailing Address
GRN CSB
490 S PERRY ST
LAWRENCEVILLE, GA 30046-4837
Phone number: 770-339-2321
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