Provider First Line Business Practice Location Address:
101 CLINIC DRIVE
Provider Second Line Business Practice Location Address:
TARBORO CLINIC, P.A.
Provider Business Practice Location Address City Name:
TARBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27886-1935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-563-1030
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2007