Provider First Line Business Practice Location Address:
2950 CARATOKE HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CURRITUCK
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27929-0240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-232-7746
Provider Business Practice Location Address Fax Number:
252-232-0015
Provider Enumeration Date:
05/31/2006