Provider First Line Business Practice Location Address:
600 PLAZA BLVD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINSTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28501-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-527-0895
Provider Business Practice Location Address Fax Number:
252-527-1246
Provider Enumeration Date:
11/16/2006