Provider First Line Business Practice Location Address:
101 MANNING DR
Provider Second Line Business Practice Location Address:
1ST FLOOR WEST WING UNC BRACE SHOP
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-4630
Provider Business Practice Location Address Fax Number:
919-966-4062
Provider Enumeration Date:
09/04/2007