Provider First Line Business Practice Location Address:
510 CHERRY ST., SUITE 301
Provider Second Line Business Practice Location Address:
BLUEFIELD PRIMARY CARE
Provider Business Practice Location Address City Name:
BLUEFIELD
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-327-1630
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2011