Provider First Line Business Practice Location Address:
2620 NEW BERN AVENUE
Provider Second Line Business Practice Location Address:
NEW BERN RIDGE PEDIATRICS
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-231-3180
Provider Business Practice Location Address Fax Number:
919-231-8077
Provider Enumeration Date:
09/14/2006