Provider First Line Business Practice Location Address:
144 GARRETT STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUMTER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-773-1600
Provider Business Practice Location Address Fax Number:
803-778-5971
Provider Enumeration Date:
01/05/2007