Provider First Line Business Practice Location Address:
2240 SOUTH. DUFFIE RD
Provider Second Line Business Practice Location Address:
2240 SOUTH DUFFIE RD
Provider Business Practice Location Address City Name:
RED SPRINGS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28377-2240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-843-1595
Provider Business Practice Location Address Fax Number:
910-843-1576
Provider Enumeration Date:
10/21/2008