Provider First Line Business Practice Location Address:
1601 BRENNER AVENUE ENDOCRINOLOGY BLDG(21)
Provider Second Line Business Practice Location Address:
US DEPT. OF VETERAN AFFAIRS W.G.(BILL)HEFNER BLDG
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-638-3847
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2012