Provider First Line Business Practice Location Address:
4400 E US HIGHWAY 64 ALT
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-835-1014
Provider Business Practice Location Address Fax Number:
866-395-6491
Provider Enumeration Date:
09/09/2008