Provider First Line Business Practice Location Address:
T0919 CHILDRENS HEALTH CTR
Provider Second Line Business Practice Location Address:
BOX 2808 DUMC
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:
305-725-4647
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2010