Provider First Line Business Practice Location Address:
471 UNIVERSITY PARKWAY
Provider Second Line Business Practice Location Address:
USCA ATEP
Provider Business Practice Location Address City Name:
AIKEN
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-641-3207
Provider Business Practice Location Address Fax Number:
803-641-3723
Provider Enumeration Date:
08/07/2006