Provider First Line Business Practice Location Address:
2404 DR MARTIN LUTHER KING JR BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BERN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28562-4424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-638-8121
Provider Business Practice Location Address Fax Number:
252-633-3401
Provider Enumeration Date:
07/24/2007