Provider First Line Business Practice Location Address:
305 MEDICAL ARTS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDENTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27932-8608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-479-8820
Provider Business Practice Location Address Fax Number:
252-301-3343
Provider Enumeration Date:
11/30/2021