Provider First Line Business Practice Location Address:
3802 ERWIN ROAD WADSWORTH BLDG
Provider Second Line Business Practice Location Address:
DUKE EYE CENTER
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27710-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-684-4417
Provider Business Practice Location Address Fax Number:
919-684-8509
Provider Enumeration Date:
10/06/2006