Provider First Line Business Practice Location Address:
201 EAST GROVER ST.
Provider Second Line Business Practice Location Address:
LEVINE CANCER INSTITUTE
Provider Business Practice Location Address City Name:
SHELBY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-487-2642
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2012