Provider First Line Business Practice Location Address:
120 N FRANKLIN ST STE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKY MOUNT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27804-5448
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-985-3009
Provider Business Practice Location Address Fax Number:
252-985-2004
Provider Enumeration Date:
07/13/2009