Provider First Line Business Practice Location Address:
505 W FRANKLIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28144-3317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-643-7450
Provider Business Practice Location Address Fax Number:
704-754-5975
Provider Enumeration Date:
12/12/2014