Provider First Line Business Practice Location Address:
OLD RTE 75
Provider Second Line Business Practice Location Address:
FEDERAL MEDICAL CENTER,
Provider Business Practice Location Address City Name:
BUTNER
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27509-4500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-575-3900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2010