Provider First Line Business Practice Location Address:
4007 M L KING JR BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BERN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28562-2243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-772-9995
Provider Business Practice Location Address Fax Number:
252-221-3939
Provider Enumeration Date:
06/09/2006