Provider First Line Business Practice Location Address:
336 DEERFIELD RD
Provider Second Line Business Practice Location Address:
DEPT. OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
BOONE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28607-5008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-716-4195
Provider Business Practice Location Address Fax Number:
336-716-3202
Provider Enumeration Date:
06/03/2007