Provider First Line Business Practice Location Address:
945 SOUTH US 15-401 HWY BYPASS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAURINBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28352-5089
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-276-1222
Provider Business Practice Location Address Fax Number:
910-276-1075
Provider Enumeration Date:
02/06/2013