Provider First Line Business Practice Location Address:
401 E 9TH ST
Provider Second Line Business Practice Location Address:
AUDIOLOGY
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28202-2533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-343-5455
Provider Business Practice Location Address Fax Number:
980-343-5229
Provider Enumeration Date:
01/15/2009