Provider First Line Business Practice Location Address:
412 S IREDELL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPENCER
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28159-2229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-643-1766
Provider Business Practice Location Address Fax Number:
704-973-0748
Provider Enumeration Date:
07/01/2024