Provider First Line Business Practice Location Address:
228 CURRY BLDG
Provider Second Line Business Practice Location Address:
UNC-GREENSBORO
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27402-6170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-256-1369
Provider Business Practice Location Address Fax Number:
336-334-3433
Provider Enumeration Date:
05/14/2009