Provider First Line Business Practice Location Address:
145 MEDICAL PARK LN STE I
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6663
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-4712
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2008