Provider First Line Business Practice Location Address:
316 CALHOUN ST
Provider Second Line Business Practice Location Address:
ROPER HOSPITAL
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-971-8376
Provider Business Practice Location Address Fax Number:
843-971-8377
Provider Enumeration Date:
01/10/2006