Provider First Line Business Practice Location Address:
3024 NEW BERN AVENUE
Provider Second Line Business Practice Location Address:
WAKEMED RALEIGH CAMPUS ANDREWS CENTER, 2ND FLOOR
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-350-7856
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2008