Provider First Line Business Practice Location Address:
1985 STARTOWN RD.
Provider Second Line Business Practice Location Address:
FAIRBROCK MEDICAL CLINIC PA
Provider Business Practice Location Address City Name:
HICKORY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-327-4745
Provider Business Practice Location Address Fax Number:
828-327-0841
Provider Enumeration Date:
01/11/2006