Provider First Line Business Practice Location Address:
3010 OLD CLINIC BUILDING
Provider Second Line Business Practice Location Address:
CAMPUS BOX 7516
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:
919-966-1601
Provider Business Practice Location Address Fax Number:
919-966-6377
Provider Enumeration Date:
08/21/2006