Provider First Line Business Practice Location Address:
1304 W. BOBO NEWSOME HWY
Provider Second Line Business Practice Location Address:
CAROLINA PINES REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
HARTSVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-861-9529
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2006