Provider First Line Business Practice Location Address:
125 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRUCE PINE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28777-3035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-468-4551
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2011