Provider First Line Business Practice Location Address:
203-B EARNHARDT DR.
Provider Second Line Business Practice Location Address:
ECU PHYSICIANS SURGERY CHOWAN HOSPITAL
Provider Business Practice Location Address City Name:
EDENTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27932
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-482-5868
Provider Business Practice Location Address Fax Number:
252-482-7953
Provider Enumeration Date:
08/02/2005