Provider First Line Business Practice Location Address:
1245 CAMP RD
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:
28147-9233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-639-7540
Provider Business Practice Location Address Fax Number:
704-639-7585
Provider Enumeration Date:
11/14/2006