Provider First Line Business Practice Location Address:
270 N US HIGHWAY 701 BYP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TABOR CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28463-9324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-653-1901
Provider Business Practice Location Address Fax Number:
910-320-8435
Provider Enumeration Date:
07/07/2021