Provider First Line Business Practice Location Address:
130 MASON FARM ROAD
Provider Second Line Business Practice Location Address:
3159C BIOINFORMATICS BUILDING
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
25799
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-9071
Provider Business Practice Location Address Fax Number:
919-966-7956
Provider Enumeration Date:
04/27/2020