Provider First Line Business Practice Location Address:
5465 W US HIGHWAY 64
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-8169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-835-9997
Provider Business Practice Location Address Fax Number:
828-835-9910
Provider Enumeration Date:
12/05/2005