Provider First Line Business Practice Location Address: 
513 MCDOWELL ST
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
ASHEVILLE
    Provider Business Practice Location Address State Name: 
NC
    Provider Business Practice Location Address Postal Code: 
28803-0381
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
828-436-5500
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/06/2011