Provider First Line Business Practice Location Address:
346 WEST BUTLER STREET
Provider Second Line Business Practice Location Address:
LEXINGTON PEDIATRIC PRACTICE
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-359-8855
Provider Business Practice Location Address Fax Number:
803-359-1257
Provider Enumeration Date:
03/27/2006