Provider First Line Business Practice Location Address:
92 CATAMOUNT ROAD
Provider Second Line Business Practice Location Address:
WESTERN CAROLINA UNIVERSITY
Provider Business Practice Location Address City Name:
CULLOWHEE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28723-7240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-227-2304
Provider Business Practice Location Address Fax Number:
828-227-7688
Provider Enumeration Date:
02/06/2012