Provider First Line Business Practice Location Address:
WILLIAM B HEFNERVAMC
Provider Second Line Business Practice Location Address:
1601 BRENNER AVENUE
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28144-9381
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-638-9000
Provider Business Practice Location Address Fax Number:
704-638-3847
Provider Enumeration Date:
05/10/2006