Provider First Line Business Practice Location Address:
170 MANNING DR
Provider Second Line Business Practice Location Address:
EMERGENCY MED. POB, 1ST FLOOR, CB#7594
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-4221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-6442
Provider Business Practice Location Address Fax Number:
919-966-3049
Provider Enumeration Date:
05/11/2011