Provider First Line Business Practice Location Address:
1600 MEDICAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAURINBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28352-5524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-277-9164
Provider Business Practice Location Address Fax Number:
910-277-9189
Provider Enumeration Date:
05/15/2006