Provider First Line Business Practice Location Address:
LANGFORD ELEMENTARY
Provider Second Line Business Practice Location Address:
480 LANGFORD ROAD
Provider Business Practice Location Address City Name:
BLYTHEWOOD
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-691-4091
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2019