Provider First Line Business Practice Location Address:
595 W CAROLINA AVENUE
Provider Second Line Business Practice Location Address:
HAMPTON REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
VARNVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29944
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-575-1435
Provider Business Practice Location Address Fax Number:
803-943-1202
Provider Enumeration Date:
09/02/2006