Provider First Line Business Practice Location Address:
211 S SALEM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APEX
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27502-1878
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-303-2500
Provider Business Practice Location Address Fax Number:
919-303-2501
Provider Enumeration Date:
12/13/2005