Provider First Line Business Practice Location Address:
153 N NC HIGHWAY 16
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLORSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28681-2471
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-635-8500
Provider Business Practice Location Address Fax Number:
828-635-0118
Provider Enumeration Date:
05/06/2006