Provider First Line Business Practice Location Address:
1060 OLD BALLPARK RD
Provider Second Line Business Practice Location Address:
LOT #1
Provider Business Practice Location Address City Name:
SPINDALE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28160-2084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-288-1623
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2007