Provider First Line Business Practice Location Address:
2 LEA'S COURTYARD CLIFFABEE LEA'S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SENECA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-882-5722
Provider Business Practice Location Address Fax Number:
864-882-5739
Provider Enumeration Date:
02/01/2006