Provider First Line Business Practice Location Address:
3105 DR MARTIN LUTHER KING JR BLVD
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:
28562-5213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-638-3554
Provider Business Practice Location Address Fax Number:
252-638-8811
Provider Enumeration Date:
12/05/2023