Provider First Line Business Practice Location Address:
OLD OXFORD HIGHWAY 75 LSCI
Provider Second Line Business Practice Location Address:
FEDERAL CORRECTIONAL COMPLEX
Provider Business Practice Location Address City Name:
BUTNER
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-575-5000
Provider Business Practice Location Address Fax Number:
919-575-5061
Provider Enumeration Date:
10/12/2012