Provider First Line Business Practice Location Address:
3410 DR ML KING JR BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BERN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-638-3021
Provider Business Practice Location Address Fax Number:
252-288-3405
Provider Enumeration Date:
07/24/2006