Provider First Line Business Practice Location Address:
1135 CARTHAGE ST
Provider Second Line Business Practice Location Address:
CENTRAL CAROLINA HOSPITAL
Provider Business Practice Location Address City Name:
SANFORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27330-4162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-934-8171
Provider Business Practice Location Address Fax Number:
919-774-2141
Provider Enumeration Date:
06/12/2009