Provider First Line Business Practice Location Address:
274 OAKWOOD DRIVE
Provider Second Line Business Practice Location Address:
OAKWOOD ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
YANCEYVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27379-0640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-694-4221
Provider Business Practice Location Address Fax Number:
336-694-4376
Provider Enumeration Date:
06/18/2010