Provider First Line Business Practice Location Address:
145 MEDICAL PARK LN
Provider Second Line Business Practice Location Address:
STE L
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6872
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-7708
Provider Business Practice Location Address Fax Number:
828-837-8820
Provider Enumeration Date:
11/07/2007