Provider First Line Business Practice Location Address:
212 MEDICAL CENTER
Provider Second Line Business Practice Location Address:
HWY 87
Provider Business Practice Location Address City Name:
RIEGELWOOD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-655-4966
Provider Business Practice Location Address Fax Number:
910-655-4966
Provider Enumeration Date:
11/13/2006