Provider First Line Business Practice Location Address:
7300 SOUTH RAEFORD ROAD
Provider Second Line Business Practice Location Address:
VA FAYETTEVILLE HEALTH CARE CENTER / AUDIOLOGY
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-488-2120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2012