Provider First Line Business Practice Location Address:
1176 WYKE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHELBY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28150-4273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-628-5000
Provider Business Practice Location Address Fax Number:
276-623-2148
Provider Enumeration Date:
01/09/2007