Provider First Line Business Practice Location Address:
1600 EAST C STREET
Provider Second Line Business Practice Location Address:
MURDOCH CENTER
Provider Business Practice Location Address City Name:
BUTNER
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-575-1940
Provider Business Practice Location Address Fax Number:
919-575-1894
Provider Enumeration Date:
09/06/2006