Provider First Line Business Practice Location Address: 
UNC CHAPEL HILL, DIVISION OF HEMATOLOGY ONCOLOGY
    Provider Second Line Business Practice Location Address: 
CB# 7305, 3009 OLD CLINIC BUILDING
    Provider Business Practice Location Address City Name: 
CHAPEL HILL
    Provider Business Practice Location Address State Name: 
NC
    Provider Business Practice Location Address Postal Code: 
27712
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
919-966-6767
    Provider Business Practice Location Address Fax Number: 
919-966-0188
    Provider Enumeration Date: 
05/09/2007