Provider First Line Business Practice Location Address:
200 ROSENWALD SCHOOL ST SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CATAWBA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28609-8896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-241-2377
Provider Business Practice Location Address Fax Number:
828-241-2678
Provider Enumeration Date:
11/10/2011