Provider First Line Business Practice Location Address:
4130 E US HIGHWAY 64
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-8161
Provider Business Practice Location Address Fax Number:
828-835-7723
Provider Enumeration Date:
10/24/2006