Provider First Line Business Practice Location Address:
1499 PLESS UNDERWOOD RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAGGIE VALLEY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-421-7133
Provider Business Practice Location Address Fax Number:
828-926-5475
Provider Enumeration Date:
04/01/2009