Provider First Line Business Practice Location Address:
139 N 4TH ST
Provider Second Line Business Practice Location Address:
TELEMEDICINE
Provider Business Practice Location Address City Name:
LEWISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-719-9611
Provider Business Practice Location Address Fax Number:
901-284-2536
Provider Enumeration Date:
07/23/2021