Provider First Line Business Practice Location Address:
207 E SALISBURY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHEBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-625-4241
Provider Business Practice Location Address Fax Number:
336-625-9488
Provider Enumeration Date:
12/05/2005