Provider First Line Business Practice Location Address:
2203 S STERLING ST STE 247
Provider Second Line Business Practice Location Address:
GRACE HOSPITAL PROFESSIONAL BUILDING
Provider Business Practice Location Address City Name:
MORGANTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28655-4083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-433-1400
Provider Business Practice Location Address Fax Number:
828-433-1400
Provider Enumeration Date:
03/28/2007