Provider First Line Business Practice Location Address:
560 MALCOLM BLVD
Provider Second Line Business Practice Location Address:
WESTERN PIEDMONT CLINIC
Provider Business Practice Location Address City Name:
RUTHERFORD COLLEGE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-874-3678
Provider Business Practice Location Address Fax Number:
828-874-3685
Provider Enumeration Date:
12/27/2006