Provider First Line Business Practice Location Address:
202 LITHIA INN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINCOLNTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28092-4217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-748-2140
Provider Business Practice Location Address Fax Number:
702-748-2142
Provider Enumeration Date:
01/25/2024