Provider First Line Business Practice Location Address:
3104 ARENDELL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOREHEAD CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28557-3202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-247-0770
Provider Business Practice Location Address Fax Number:
252-240-1384
Provider Enumeration Date:
01/30/2007