Provider First Line Business Practice Location Address:
130 ARTHREX DR BLDG CENTRAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PENDLETON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29670-9286
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-772-8550
Provider Business Practice Location Address Fax Number:
864-772-8551
Provider Enumeration Date:
04/12/2006