Provider First Line Business Practice Location Address:
15449 HIGHWAY 17, BUILDING 9
Provider Second Line Business Practice Location Address:
FAMILY CARE OF HAMPSTEAD
Provider Business Practice Location Address City Name:
HAMPSTEAD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-270-3561
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2009