Provider First Line Business Practice Location Address:
UNC DEPT OF PEDIATRICS 030 MACNIDER HALL CB 7231
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:
27599-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-962-4509
Provider Business Practice Location Address Fax Number:
919-963-4221
Provider Enumeration Date:
10/29/2019