Provider First Line Business Practice Location Address:
3195 OLD MURPHY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-369-6144
Provider Business Practice Location Address Fax Number:
866-253-8199
Provider Enumeration Date:
06/26/2006