Provider First Line Business Practice Location Address:
149-A WEST PARKER ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28655-4673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-433-5550
Provider Business Practice Location Address Fax Number:
828-433-5256
Provider Enumeration Date:
03/03/2008