Provider First Line Business Practice Location Address:
485 VALLEY RD
Provider Second Line Business Practice Location Address:
MEDICAL ASSOCIATES OF DAVIE
Provider Business Practice Location Address City Name:
MOCKSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27028-2074
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-751-8000
Provider Business Practice Location Address Fax Number:
336-751-8010
Provider Enumeration Date:
11/19/2007