Provider First Line Business Practice Location Address:
105 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27292-6776
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-236-4460
Provider Business Practice Location Address Fax Number:
336-236-4462
Provider Enumeration Date:
02/22/2006