Provider First Line Business Practice Location Address:
1325 SPRING ST
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
GREENWOOD
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29646-3860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-227-8242
Provider Business Practice Location Address Fax Number:
864-227-8148
Provider Enumeration Date:
05/26/2009