Provider First Line Business Practice Location Address:
160-A CAMDEN MEDICAL PARK
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-335-5158
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2007