Provider First Line Business Practice Location Address:
127 WEST MAIN STREET
Provider Second Line Business Practice Location Address:
A
Provider Business Practice Location Address City Name:
SPRING HOPE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27882
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-478-7400
Provider Business Practice Location Address Fax Number:
252-478-7426
Provider Enumeration Date:
09/07/2011