Provider First Line Business Practice Location Address:
900 MARTIN LUTHER KING JR BLVD
Provider Second Line Business Practice Location Address:
(HISTORIC AIRPORT ROAD)SUITE B
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-2601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-967-5099
Provider Business Practice Location Address Fax Number:
919-932-6098
Provider Enumeration Date:
05/16/2007