Provider First Line Business Practice Location Address:
SC HOUSE CALLS
Provider Second Line Business Practice Location Address:
1053 CENTER STREET
Provider Business Practice Location Address City Name:
WEST COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29169-6749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-726-2350
Provider Business Practice Location Address Fax Number:
803-753-9102
Provider Enumeration Date:
01/17/2017