Provider First Line Business Practice Location Address:
210 E TRADE ST STE E186
Provider Second Line Business Practice Location Address:
MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28202-2355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-389-2727
Provider Business Practice Location Address Fax Number:
401-652-9787
Provider Enumeration Date:
12/02/2008