Provider First Line Business Practice Location Address:
13820 HWY 55 E.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLIANCE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-745-4100
Provider Business Practice Location Address Fax Number:
252-745-3909
Provider Enumeration Date:
02/12/2007