Provider First Line Business Practice Location Address:
520 ALLEN STREET
Provider Second Line Business Practice Location Address:
MONTGOMERY MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-571-5360
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2006