Provider First Line Business Practice Location Address:
102 RL SAWYER MD DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALUDA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-445-2173
Provider Business Practice Location Address Fax Number:
864-445-9158
Provider Enumeration Date:
12/08/2005