Provider First Line Business Practice Location Address:
40894 HIGHWAY 12
Provider Second Line Business Practice Location Address:
HEALTHEAST OUTER BANKS MEDICAL CENTER
Provider Business Practice Location Address City Name:
AVON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-995-3073
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2007