Provider First Line Business Practice Location Address:
538 SCOTTS CREEK RD, SUITE 100
Provider Second Line Business Practice Location Address:
JCDPH
Provider Business Practice Location Address City Name:
SYLVA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-587-8267
Provider Business Practice Location Address Fax Number:
828-587-8295
Provider Enumeration Date:
09/16/2006