Provider First Line Business Practice Location Address:
4542 NC HIGHWAY 87 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANFORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27332-0212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-498-9300
Provider Business Practice Location Address Fax Number:
919-498-9308
Provider Enumeration Date:
04/07/2014