Provider First Line Business Practice Location Address:
2200 ELM AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAURINBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28352-8035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-277-2000
Provider Business Practice Location Address Fax Number:
910-277-2025
Provider Enumeration Date:
08/09/2005