Provider First Line Business Practice Location Address:
APPALACHIAN STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
010A HCC
Provider Business Practice Location Address City Name:
BOONE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28608-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-262-7431
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/16/2007