Provider First Line Business Practice Location Address:
100 S MAIN ST
Provider Second Line Business Practice Location Address:
GARDNER WEBB UNIVERSITY ATHLETIC TRAINING
Provider Business Practice Location Address City Name:
BOILING SPRINGS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28017-9797
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-406-4356
Provider Business Practice Location Address Fax Number:
704-406-3503
Provider Enumeration Date:
08/01/2011