Provider First Line Business Practice Location Address:
120 HEALTH CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AHOSKIE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27910-8161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-332-3548
Provider Business Practice Location Address Fax Number:
252-332-1665
Provider Enumeration Date:
06/26/2006