Provider First Line Business Practice Location Address:
1240 HUFFMAN MILL RD
Provider Second Line Business Practice Location Address:
PHYSICIAN CARE
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27215-8700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-570-0344
Provider Business Practice Location Address Fax Number:
336-570-3045
Provider Enumeration Date:
04/11/2006