Provider First Line Business Practice Location Address:
951 WEST MEMORIAL HIGHWAY
Provider Second Line Business Practice Location Address:
TRI COUNTY MEDICAL PARK
Provider Business Practice Location Address City Name:
UNION GROVE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28689
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-539-5544
Provider Business Practice Location Address Fax Number:
704-539-5209
Provider Enumeration Date:
04/19/2007