Provider First Line Business Practice Location Address:
307 OAKLAND AVE
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:
28655-6928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-433-6180
Provider Business Practice Location Address Fax Number:
828-433-6672
Provider Enumeration Date:
12/19/2005