Provider First Line Business Practice Location Address:
800 HOSPITAL DR
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
NEW BERN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28560-3452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-493-4443
Provider Business Practice Location Address Fax Number:
330-493-8677
Provider Enumeration Date:
08/31/2006