Provider First Line Business Practice Location Address:
AGAPE SENIOR PRIMARY CARE, INC.
Provider Second Line Business Practice Location Address:
1624 MAIN STREET SUITE C
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29201-2860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-451-6133
Provider Business Practice Location Address Fax Number:
803-726-2210
Provider Enumeration Date:
05/04/2016