Provider First Line Business Practice Location Address:
PIEDMONT HEALTH DISTRICT
Provider Second Line Business Practice Location Address:
111 SOUTH STREET 1ST FLOOR
Provider Business Practice Location Address City Name:
FARMVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-392-3984
Provider Business Practice Location Address Fax Number:
434-392-1038
Provider Enumeration Date:
10/04/2006