Provider First Line Business Practice Location Address:
DBA SC HOUSE CALLS
Provider Second Line Business Practice Location Address:
529 MILLS AVENUE
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-491-0909
Provider Business Practice Location Address Fax Number:
843-353-2581
Provider Enumeration Date:
07/03/2014