Provider First Line Business Practice Location Address:
407 N SALEM AVE
Provider Second Line Business Practice Location Address:
VA OUTPATIENT CLINIC
Provider Business Practice Location Address City Name:
SUMTER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29150-4115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-776-4000
Provider Business Practice Location Address Fax Number:
803-938-9905
Provider Enumeration Date:
07/31/2006