Provider First Line Business Practice Location Address:
544 J R ALLSBROOK HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROANOKE RAPIDS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27870-4611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-537-7458
Provider Business Practice Location Address Fax Number:
252-537-7458
Provider Enumeration Date:
10/03/2014