Provider First Line Business Practice Location Address:
MATTHEWS FOOT CARE
Provider Second Line Business Practice Location Address:
526 WEST JOHN STREET
Provider Business Practice Location Address City Name:
MATTHEWS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28105-5353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-847-9788
Provider Business Practice Location Address Fax Number:
704-849-2928
Provider Enumeration Date:
09/19/2005