Provider First Line Business Practice Location Address:
83 WAR MEMORIAL DRIVE
Provider Second Line Business Practice Location Address:
BERKELEY SPRINGS SURGICAL CORP PC
Provider Business Practice Location Address City Name:
BERKELEY SPRINGS
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-258-1070
Provider Business Practice Location Address Fax Number:
304-258-7749
Provider Enumeration Date:
04/22/2006