Provider First Line Business Practice Location Address:
1425 S GLENBURNIE RD
Provider Second Line Business Practice Location Address:
SUITE 7
Provider Business Practice Location Address City Name:
NEW BERN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28562-2610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-637-6800
Provider Business Practice Location Address Fax Number:
252-637-3501
Provider Enumeration Date:
12/13/2005