Provider First Line Business Practice Location Address: 
800 MEDICAL CAMPUS DR
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
BURNSVILLE
    Provider Business Practice Location Address State Name: 
NC
    Provider Business Practice Location Address Postal Code: 
28714-9010
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
828-682-0200
    Provider Business Practice Location Address Fax Number: 
828-682-6858
    Provider Enumeration Date: 
09/01/2009