Provider First Line Business Practice Location Address:
4188 US HIGHWAY 64 E
Provider Second Line Business Practice Location Address:
SUITE 6
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-7513
Provider Business Practice Location Address Fax Number:
828-837-2912
Provider Enumeration Date:
12/07/2007