Provider First Line Business Practice Location Address:
1901 TATE SPRINGS RD
Provider Second Line Business Practice Location Address:
C/O CENTRA EMERGENCY SERVICES
Provider Business Practice Location Address City Name:
LYNCHBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24501-1109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-545-6298
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2007