Provider First Line Business Practice Location Address:
138 CANAL STREET, UNIT 308
Provider Second Line Business Practice Location Address:
SC HOUSE CALLS INC/GA HOUSE CALLS INC
Provider Business Practice Location Address City Name:
WEST COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
26169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-491-0909
Provider Business Practice Location Address Fax Number:
912-350-7297
Provider Enumeration Date:
09/03/2015