Provider First Line Business Practice Location Address:
1663 CAMPUS PARK DRIVE, SUITE D
Provider Second Line Business Practice Location Address:
CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28212-5581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-291-2488
Provider Business Practice Location Address Fax Number:
704-291-7533
Provider Enumeration Date:
07/17/2006