Provider First Line Business Practice Location Address:
612 MOCKSVILLE AVENUE
Provider Second Line Business Practice Location Address:
C/O ROWAN REGIONAL MEDICAL CENTER
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:
704-210-5092
Provider Business Practice Location Address Fax Number:
704-210-5596
Provider Enumeration Date:
02/27/2008