Provider First Line Business Practice Location Address:
4130 US HIGHWAY 64 E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-835-7505
Provider Business Practice Location Address Fax Number:
828-835-7507
Provider Enumeration Date:
04/29/2008