Provider First Line Business Practice Location Address:
202 N FIFTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEBANE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27302-2537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-323-8480
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2026