Provider First Line Business Practice Location Address:
125 MEDICAL PARK LN STE F
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-2128
Provider Business Practice Location Address Fax Number:
828-835-9311
Provider Enumeration Date:
07/14/2008