Provider First Line Business Practice Location Address:
VA MEDICAL CENTER (11M-2)
Provider Second Line Business Practice Location Address:
1601 BRENNER AV
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-638-9000
Provider Business Practice Location Address Fax Number:
704-638-3488
Provider Enumeration Date:
04/06/2006