Provider First Line Business Practice Location Address:
2100 ERWIN RD
Provider Second Line Business Practice Location Address:
DUKE UNIVERSITY MEDICAL CENTER - DUMC 3050
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27710-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-684-3862
Provider Business Practice Location Address Fax Number:
919-684-9045
Provider Enumeration Date:
10/25/2006