Provider First Line Business Practice Location Address:
6800 NORTH KINGS HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MYRTLE BEACH
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29572
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-497-5630
Provider Business Practice Location Address Fax Number:
843-497-8658
Provider Enumeration Date:
12/04/2006