Provider First Line Business Practice Location Address:
2817 ROCK MERRITT AVE
Provider Second Line Business Practice Location Address:
WOMACK ARMY MEDICAL CENTER
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-1716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-643-1964
Provider Business Practice Location Address Fax Number:
910-432-5812
Provider Enumeration Date:
01/17/2006