Provider First Line Business Practice Location Address:
1000 MEDICAL CENTER ROAD
Provider Second Line Business Practice Location Address:
PO DRAWER B - HWY 421
Provider Business Practice Location Address City Name:
MAMERS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27552
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-893-5402
Provider Business Practice Location Address Fax Number:
910-893-2567
Provider Enumeration Date:
07/21/2008