Provider First Line Business Practice Location Address:
PRIMARY CARE CENTER
Provider Second Line Business Practice Location Address:
613 CAMPUS DRIVE SUITE #200
Provider Business Practice Location Address City Name:
ABINGDON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24210-0881
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-326-6001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/29/2023