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:
SPARTANBURG
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29303-2964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-594-4457
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2012