Provider First Line Business Practice Location Address:
4115 THE PLZ
Provider Second Line Business Practice Location Address:
EASTOWNE FAMILY PHYSICIANS, P.A,
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28205-1356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-532-4567
Provider Business Practice Location Address Fax Number:
704-532-4580
Provider Enumeration Date:
10/25/2006