Provider First Line Business Practice Location Address:
PORT HEALTH SERVICES
Provider Second Line Business Practice Location Address:
4300-110 SAPPHIRE COURT
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-752-0483
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2022