Provider First Line Business Practice Location Address:
1314 PATTON AVENUE
Provider Second Line Business Practice Location Address:
SUITE E, ATTN: GENOA HEALTH CARE
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28806-2648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-490-7573
Provider Business Practice Location Address Fax Number:
828-252-1180
Provider Enumeration Date:
10/25/2018