Provider First Line Business Practice Location Address:
3992 E US HWY 64 ALT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-835-7586
Provider Business Practice Location Address Fax Number:
828-835-7579
Provider Enumeration Date:
10/27/2006