Provider First Line Business Practice Location Address:
2810 W US HIGHWAY 64 STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-4061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-0400
Provider Business Practice Location Address Fax Number:
828-837-0404
Provider Enumeration Date:
01/13/2010