Provider First Line Business Practice Location Address: 
990 JOHNS HOPKINS DR
    Provider Second Line Business Practice Location Address: 
CAROLINA BREAST IMAGING SPECIALISTS, PLLC
    Provider Business Practice Location Address City Name: 
GREENVILLE
    Provider Business Practice Location Address State Name: 
NC
    Provider Business Practice Location Address Postal Code: 
27834-7224
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
252-565-8951
    Provider Business Practice Location Address Fax Number: 
252-565-8958
    Provider Enumeration Date: 
11/16/2005