Provider First Line Business Practice Location Address:
101 MANNING DRIVE CB # 7593
Provider Second Line Business Practice Location Address:
DEPT OF PEDIATRICS
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-1072
Provider Business Practice Location Address Fax Number:
919-966-8419
Provider Enumeration Date:
04/27/2009