Provider First Line Business Practice Location Address:
100 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27549-2256
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-340-8700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2006