Provider First Line Business Practice Location Address:
1971 UNIVERSITY BLVD., MSC BOX 710162
Provider Second Line Business Practice Location Address:
LIBERTY UNIVERSITY, DEPT OF PUBLIC & COMMUNITY HEALTH
Provider Business Practice Location Address City Name:
LYNCHBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-592-4096
Provider Business Practice Location Address Fax Number:
434-582-7261
Provider Enumeration Date:
12/12/2014