Provider First Line Business Practice Location Address:
199 W SALISBURY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27312-4149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-545-2161
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2007