Provider First Line Business Practice Location Address:
608 SALISBURY ST
Provider Second Line Business Practice Location Address:
608 SALISBURY STREET
Provider Business Practice Location Address City Name:
WADESBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28170-2027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-695-9200
Provider Business Practice Location Address Fax Number:
704-695-9201
Provider Enumeration Date:
07/11/2006