Provider First Line Business Practice Location Address:
1416 S MARTIN LUTHER KING JR AVE STE A
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:
28144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-637-3940
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2006