Provider First Line Business Practice Location Address:
1032 COLLEGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OXFORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27565-2507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-693-2141
Provider Business Practice Location Address Fax Number:
919-693-8517
Provider Enumeration Date:
12/06/2006