Provider First Line Business Practice Location Address:
3374 U.S HIGHWAY 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLINTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-312-8207
Provider Business Practice Location Address Fax Number:
919-324-3918
Provider Enumeration Date:
09/30/2011