Provider First Line Business Practice Location Address:
628 E 12TH ST
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27889-3409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-693-5700
Provider Business Practice Location Address Fax Number:
954-625-6034
Provider Enumeration Date:
09/10/2008