Provider First Line Business Practice Location Address:
227 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAURINBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28352-3831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-276-2788
Provider Business Practice Location Address Fax Number:
910-276-4108
Provider Enumeration Date:
01/16/2006