Provider First Line Business Practice Location Address:
4226 E US HIGHWAY 64-ALT
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:
28906-6966
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-479-6434
Provider Business Practice Location Address Fax Number:
828-479-2917
Provider Enumeration Date:
08/22/2016