Provider First Line Business Practice Location Address:
EASTERN NEPHROLOGY ASSOCIATES PLLC
Provider Second Line Business Practice Location Address:
227 MEMORIAL DR
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28546-6333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-346-2263
Provider Business Practice Location Address Fax Number:
910-353-0549
Provider Enumeration Date:
10/25/2016