Provider First Line Business Practice Location Address:
739 NORTH FORK HIGHWAY
Provider Second Line Business Practice Location Address:
GRANT COUNTY HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
PETERSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26847-0608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-257-4922
Provider Business Practice Location Address Fax Number:
304-257-2422
Provider Enumeration Date:
05/21/2009