Provider First Line Business Practice Location Address:
913 E. CASSWELL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WADESBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-694-9135
Provider Business Practice Location Address Fax Number:
704-694-3011
Provider Enumeration Date:
05/03/2007