Provider First Line Business Practice Location Address:
78 DR. MCKOY DRIVE
Provider Second Line Business Practice Location Address:
CAMPBELL UNIVERSITY
Provider Business Practice Location Address City Name:
BUIES CREEK
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27506-1463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-814-4371
Provider Business Practice Location Address Fax Number:
910-893-1283
Provider Enumeration Date:
07/01/2006