Provider First Line Business Practice Location Address:
178 OLD LAMBSVILLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27516-4527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-323-6199
Provider Business Practice Location Address Fax Number:
919-918-7885
Provider Enumeration Date:
03/05/2008