Provider First Line Business Practice Location Address:
129 DOBBS CO COURTHOUSE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA GRANGE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28551-9106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-521-9490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/14/2025