Provider First Line Business Practice Location Address:
508 FULTON STREET
Provider Second Line Business Practice Location Address:
DURHAM VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-416-8001
Provider Business Practice Location Address Fax Number:
919-286-6875
Provider Enumeration Date:
08/13/2009