Provider First Line Business Practice Location Address:
698 HOWARD STREET
Provider Second Line Business Practice Location Address:
SPARTANBURG SCHOOL DISTRICT 7
Provider Business Practice Location Address City Name:
SPARTANBURG
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-596-8491
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2012