Provider First Line Business Practice Location Address:
EAST CAROLINA UNIVERSITY, 5TH STREET
Provider Second Line Business Practice Location Address:
ECU PASS, RAWL BLD, 301
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-737-4180
Provider Business Practice Location Address Fax Number:
252-737-4166
Provider Enumeration Date:
12/07/2006