Provider First Line Business Practice Location Address:
810 KENNEDY AVENUE
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:
28560
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-633-4311
Provider Business Practice Location Address Fax Number:
252-633-3009
Provider Enumeration Date:
06/04/2006