Provider First Line Business Practice Location Address:
1915 K M WICKER MEMORIAL DR
Provider Second Line Business Practice Location Address:
CENTRAL CAROLINA ENT ASSOCIATES
Provider Business Practice Location Address City Name:
SANFORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27330-5070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-774-6829
Provider Business Practice Location Address Fax Number:
919-775-2327
Provider Enumeration Date:
05/01/2008