Provider First Line Business Practice Location Address:
1300 EAST UNION ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-433-7056
Provider Business Practice Location Address Fax Number:
828-433-7056
Provider Enumeration Date:
06/27/2007