Provider First Line Business Practice Location Address:
DEPARTMENT OF PREVENTIVE MEDICINE WAMC STOP A
Provider Second Line Business Practice Location Address:
2817 REILLY RD. MCXC-DPM
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-7301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-396-7410
Provider Business Practice Location Address Fax Number:
910-396-8196
Provider Enumeration Date:
04/04/2008