Provider First Line Business Practice Location Address:
2795 CARATOKE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CURRITUCK
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27929-9609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-232-2271
Provider Business Practice Location Address Fax Number:
252-232-2442
Provider Enumeration Date:
06/19/2024