Provider First Line Business Practice Location Address:
448 OLD CHEROKEE RD
Provider Second Line Business Practice Location Address:
LAKE MURRAY PEDIATRICS
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29072-9031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-520-5800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2006