Provider First Line Business Practice Location Address:
800 PIKE ST STE 2
Provider Second Line Business Practice Location Address:
PHYSICIANS CARE EXPRESS
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45750-3507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-373-3960
Provider Business Practice Location Address Fax Number:
740-373-3965
Provider Enumeration Date:
10/27/2011