Provider First Line Business Practice Location Address:
3765 E US HIGHWAY 64 ALT
Provider Second Line Business Practice Location Address:
STE 9
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6967
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-835-2005
Provider Business Practice Location Address Fax Number:
828-835-2030
Provider Enumeration Date:
06/29/2012