Provider First Line Business Practice Location Address:
DUMC 3973
Provider Second Line Business Practice Location Address:
DUKE UNIVERSITY MEDICAL CENTER
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:
919-668-1219
Provider Business Practice Location Address Fax Number:
919-681-9846
Provider Enumeration Date:
02/02/2006