Provider First Line Business Practice Location Address:
1507 N ROAD ST STE 2
Provider Second Line Business Practice Location Address:
SENTARA INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
ELIZABETH CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27909-3283
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-460-4306
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2007