Provider First Line Business Practice Location Address:
223 N SALEM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APEX
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27502-1429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-740-2715
Provider Business Practice Location Address Fax Number:
919-267-4740
Provider Enumeration Date:
10/01/2014