Provider First Line Business Practice Location Address:
245 WARD SPORTS MEDICINE BUILDING
Provider Second Line Business Practice Location Address:
EAST CAROLINA UNIVERSITY
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-737-4561
Provider Business Practice Location Address Fax Number:
252-737-1276
Provider Enumeration Date:
05/01/2007