Provider First Line Business Practice Location Address:
7612 N NC HIGHWAY 49
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEBANE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27302-7519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-562-5300
Provider Business Practice Location Address Fax Number:
336-562-5500
Provider Enumeration Date:
01/30/2007