Provider First Line Business Practice Location Address:
2424 YORK HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29745-8439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-627-2501
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2026