Provider First Line Business Practice Location Address:
235 MARTIN LUTHER KING JR WAY
Provider Second Line Business Practice Location Address:
MSC 7901 JAMES MADISON UNIVERSITY - HEALTH CENTER
Provider Business Practice Location Address City Name:
HARRISONBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22807-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-568-6178
Provider Business Practice Location Address Fax Number:
540-568-6176
Provider Enumeration Date:
02/21/2006