Provider First Line Business Practice Location Address:
LEE REGIONAL MEDICAL CENTER 1800 COMBS RD
Provider Second Line Business Practice Location Address:
MEDICAL ARTS PLAZA SUITE 2
Provider Business Practice Location Address City Name:
PENNINGTON GAP
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24277
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-546-5488
Provider Business Practice Location Address Fax Number:
276-546-4636
Provider Enumeration Date:
08/15/2006