Provider First Line Business Practice Location Address:
1499 US HIGHWAY 74A BYP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPINDALE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28160-1873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-286-4125
Provider Business Practice Location Address Fax Number:
828-286-4156
Provider Enumeration Date:
06/20/2011