Provider First Line Business Practice Location Address:
704 WH SMITH BLVD
Provider Second Line Business Practice Location Address:
CAROLINA DIGESTIVE DISEASES, PA
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834-3761
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-758-8181
Provider Business Practice Location Address Fax Number:
252-758-8182
Provider Enumeration Date:
07/31/2008