Provider First Line Business Practice Location Address:
CAROLINA SPORTS CLINIC
Provider Second Line Business Practice Location Address:
985 MARKET STREET SUITE 201
Provider Business Practice Location Address City Name:
FORT MILL
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29708-6443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-547-9800
Provider Business Practice Location Address Fax Number:
803-547-9804
Provider Enumeration Date:
12/01/2014