Provider First Line Business Practice Location Address:
4188 E US HIGHWAY 64
Provider Second Line Business Practice Location Address:
PHYSICIANS BUILDING SUITE 1
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-8131
Provider Business Practice Location Address Fax Number:
828-837-7687
Provider Enumeration Date:
08/12/2006