Provider First Line Business Practice Location Address:
NAVAL HOSPITAL
Provider Second Line Business Practice Location Address:
3600 RIVERS AVE
Provider Business Practice Location Address City Name:
N. CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-743-7214
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2006