Provider First Line Business Practice Location Address:
3604 MEDICAL PARK CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOREHEAD CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28557-4347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-240-2250
Provider Business Practice Location Address Fax Number:
252-240-0086
Provider Enumeration Date:
06/12/2006