Provider First Line Business Practice Location Address:
1750 METROMEDICAL DRIVE
Provider Second Line Business Practice Location Address:
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:
910-339-1446
Provider Business Practice Location Address Fax Number:
877-500-1463
Provider Enumeration Date:
12/19/2006