Provider First Line Business Practice Location Address:
2D MEDICAL BATTALION PSC BOX 20129
Provider Second Line Business Practice Location Address:
CHARLIE SURGICAL COMPANY
Provider Business Practice Location Address City Name:
CAMP LEJEUNE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28542-0129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-848-6781
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2012