Provider First Line Business Practice Location Address:
130 N ARLINGTON ST STE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28144-4600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-636-0838
Provider Business Practice Location Address Fax Number:
704-870-0981
Provider Enumeration Date:
02/27/2026