Provider First Line Business Practice Location Address:
301 YADKIN ST.
Provider Second Line Business Practice Location Address:
STANLY REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
ALBEMARLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-874-4107
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2006