Provider First Line Business Practice Location Address:
DUKE SOUTH, TRENT DRIVE
Provider Second Line Business Practice Location Address:
PURPLE ZONE, CLINIC 1H
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-684-2426
Provider Business Practice Location Address Fax Number:
919-684-3834
Provider Enumeration Date:
10/28/2005