Provider First Line Business Practice Location Address:
932 MORREENE RD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROLOGY
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27705-4410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-668-2493
Provider Business Practice Location Address Fax Number:
919-668-2855
Provider Enumeration Date:
06/11/2010