Provider First Line Business Practice Location Address:
1781 METROMEDICAL DR
Provider Second Line Business Practice Location Address:
FAYETTEVILLE AMBULATORY SURGERY CENTER
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-323-1647
Provider Business Practice Location Address Fax Number:
866-998-0626
Provider Enumeration Date:
01/12/2007