Provider First Line Business Practice Location Address:
204 E WADE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WADESBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28170-2265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-790-8580
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/10/2015