Provider First Line Business Practice Location Address:
1421 SMOKEY PARK HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CANDLER
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28715-8237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-665-9110
Provider Business Practice Location Address Fax Number:
828-667-9319
Provider Enumeration Date:
04/03/2007