Provider First Line Business Practice Location Address:
895 PRUITT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINSTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28504-9120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-523-6400
Provider Business Practice Location Address Fax Number:
252-523-6400
Provider Enumeration Date:
02/20/2009