Provider First Line Business Practice Location Address:
250 WHITE OAK STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-524-7477
Provider Business Practice Location Address Fax Number:
828-524-8486
Provider Enumeration Date:
07/27/2006