Provider First Line Business Practice Location Address:
209 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HIGHLANDS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28741-7623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-482-6160
Provider Business Practice Location Address Fax Number:
828-482-5380
Provider Enumeration Date:
07/18/2008