Provider First Line Business Practice Location Address:
1-2539 R MILLER STREET PUBLIC HEALTH CLINIC DPH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT LIBERTY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-907-1025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2006