Provider First Line Business Practice Location Address:
698 HOWARD ST
Provider Second Line Business Practice Location Address:
SPARTANBURG SCHOOL DISTRICT 7
Provider Business Practice Location Address City Name:
SPARATANBURG
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-596-8491
Provider Business Practice Location Address Fax Number:
864-596-8495
Provider Enumeration Date:
12/17/2015