Provider First Line Business Practice Location Address:
2060 HIGHWAY 19
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:
28906-5106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-835-3961
Provider Business Practice Location Address Fax Number:
828-835-3965
Provider Enumeration Date:
02/06/2018