Provider First Line Business Practice Location Address:
NAVAL HOSPITAL CHARLESTON
Provider Second Line Business Practice Location Address:
3600 RIVERS AVE
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29405-7769
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-743-7868
Provider Business Practice Location Address Fax Number:
843-743-7521
Provider Enumeration Date:
01/25/2006