Provider First Line Business Practice Location Address:
4332 E. US 64 ALTERNATE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-9536
Provider Business Practice Location Address Fax Number:
828-837-2364
Provider Enumeration Date:
01/19/2006