Provider First Line Business Practice Location Address:
1601 MEDICAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAURINBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28352-5525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-277-7858
Provider Business Practice Location Address Fax Number:
910-277-8286
Provider Enumeration Date:
11/16/2007