Provider First Line Business Practice Location Address:
535 DIMMOCKS MILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILLSBOROUGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27278-2352
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-732-6444
Provider Business Practice Location Address Fax Number:
191-732-1444
Provider Enumeration Date:
01/18/2007