Provider First Line Business Practice Location Address:
171 W WILKES MEDICAL CENTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FERGUSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28624-8925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-973-9378
Provider Business Practice Location Address Fax Number:
336-973-9370
Provider Enumeration Date:
07/18/2014