Provider First Line Business Practice Location Address:
580 SOUTH HWY 226
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-688-3241
Provider Business Practice Location Address Fax Number:
828-688-9463
Provider Enumeration Date:
02/28/2007