Provider First Line Business Practice Location Address:
121 CANDLER SCHOOL RD
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:
28715-8309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-670-5018
Provider Business Practice Location Address Fax Number:
828-667-2439
Provider Enumeration Date:
03/13/2026