Provider First Line Business Practice Location Address:
232 NEWSOME RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KING
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27021-8507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-232-6844
Provider Business Practice Location Address Fax Number:
828-232-6845
Provider Enumeration Date:
04/05/2013