Provider First Line Business Practice Location Address:
434 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28646-0787
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-737-7004
Provider Business Practice Location Address Fax Number:
828-262-9159
Provider Enumeration Date:
12/14/2006