Provider First Line Business Practice Location Address:
7475 NC HWY 22
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARTHAGE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-949-2071
Provider Business Practice Location Address Fax Number:
910-949-2064
Provider Enumeration Date:
07/14/2015