Provider First Line Business Practice Location Address:
152 E SCHOOL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KING
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27021-7954
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-983-5824
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2014