Provider First Line Business Practice Location Address:
DUKE SOUTH, GASTROENTEROLOGY BOX 3913
Provider Second Line Business Practice Location Address:
ROOM 0348, BASEMENT, ORANGE ZONE
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-758-0727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2009