Provider First Line Business Practice Location Address:
MIDDLE TYGER COMMUNITY CENTER
Provider Second Line Business Practice Location Address:
84 GRACE RD
Provider Business Practice Location Address City Name:
LYMAN
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29365
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-439-7760
Provider Business Practice Location Address Fax Number:
864-439-7034
Provider Enumeration Date:
01/29/2007