Provider First Line Business Practice Location Address:
663 NC HWY 16 SOUTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLORSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28681-9985
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-632-5100
Provider Business Practice Location Address Fax Number:
828-632-5106
Provider Enumeration Date:
06/13/2007