Provider First Line Business Practice Location Address:
1010 MEDICAL PARK AVE
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:
28562-5248
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-639-4854
Provider Business Practice Location Address Fax Number:
252-634-3183
Provider Enumeration Date:
09/10/2021