Provider First Line Business Practice Location Address:
101 HEART DR. MS 654
Provider Second Line Business Practice Location Address:
MONK GERIATRIC CENTER 2414C
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834-4300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-744-2612
Provider Business Practice Location Address Fax Number:
252-744-2623
Provider Enumeration Date:
05/23/2005