Provider First Line Business Practice Location Address:
4396 E US HIGHWAY 64
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-7912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-835-3128
Provider Business Practice Location Address Fax Number:
828-835-8101
Provider Enumeration Date:
04/02/2007