Provider First Line Business Practice Location Address:
JOHN UMSTEAD HOSPITAL
Provider Second Line Business Practice Location Address:
1003 WEST 12TH STREET
Provider Business Practice Location Address City Name:
BUTNER
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-575-7392
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2007