Provider First Line Business Practice Location Address:
306 LUMPKIN BLVD
Provider Second Line Business Practice Location Address:
FRANKLIN COUNTY
Provider Business Practice Location Address City Name:
LOUISBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27549-2143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-729-3134
Provider Business Practice Location Address Fax Number:
919-729-3134
Provider Enumeration Date:
03/22/2007