Provider First Line Business Practice Location Address:
2202 ARENDELL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOREHEAD CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28557-3922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-222-3643
Provider Business Practice Location Address Fax Number:
252-222-3982
Provider Enumeration Date:
08/12/2010