Provider First Line Business Practice Location Address:
BRODY OUTPATIENT CENTER
Provider Second Line Business Practice Location Address:
600 MOYE BLVD
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-744-2207
Provider Business Practice Location Address Fax Number:
252-744-3224
Provider Enumeration Date:
05/10/2006