Provider First Line Business Practice Location Address:
1705 SO TARBORO ST
Provider Second Line Business Practice Location Address:
WILSON MEDICAL CENTER
Provider Business Practice Location Address City Name:
WILSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27893
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-399-8928
Provider Business Practice Location Address Fax Number:
252-399-7313
Provider Enumeration Date:
09/14/2006