Provider First Line Business Practice Location Address:
480 RUIN CREEK RD
Provider Second Line Business Practice Location Address:
HENDERSON FAMILY MEDICINE CLINIC
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27536-2929
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-492-3152
Provider Business Practice Location Address Fax Number:
252-430-1928
Provider Enumeration Date:
05/30/2008