Provider First Line Business Practice Location Address:
507 BARRINGER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28146-7385
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-279-3414
Provider Business Practice Location Address Fax Number:
704-278-4799
Provider Enumeration Date:
09/08/2011