Provider First Line Business Practice Location Address:
736 S LINE STREET EXT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29651-4027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-642-6600
Provider Business Practice Location Address Fax Number:
215-827-5950
Provider Enumeration Date:
10/28/2025