Provider First Line Business Practice Location Address:
5301 SOUTH NC 581
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING HOPE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27882
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-478-4807
Provider Business Practice Location Address Fax Number:
252-478-4861
Provider Enumeration Date:
03/07/2008