Provider First Line Business Practice Location Address:
4050 ARENDELL ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
MOREHEAD CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28557-2940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-240-1400
Provider Business Practice Location Address Fax Number:
252-240-1405
Provider Enumeration Date:
10/24/2007