Provider First Line Business Practice Location Address:
1105 EARL FRYE BOULEVARD
Provider Second Line Business Practice Location Address:
GILMORE MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
AMORY
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38821
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-256-6090
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2006