Provider First Line Business Practice Location Address:
1180 WYKE RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHELBY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-487-9100
Provider Business Practice Location Address Fax Number:
704-487-5230
Provider Enumeration Date:
01/03/2007