Provider First Line Business Practice Location Address:
125 CAMELLIA GARDEN ST
Provider Second Line Business Practice Location Address:
QUAKER MEADOWS FCH
Provider Business Practice Location Address City Name:
MORGANTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28655-8207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-433-5875
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2007