Provider First Line Business Practice Location Address:
2115 PHYSICIANS OFFICE BLDG CB 7235
Provider Second Line Business Practice Location Address:
UNC DEPARTMENT OF UROLOGY
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-7235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-8217
Provider Business Practice Location Address Fax Number:
919-966-0098
Provider Enumeration Date:
06/01/2007