Provider First Line Business Practice Location Address:
101 MANNING DRIVE, 2ND FLOOR MAIN HOSPITAL
Provider Second Line Business Practice Location Address:
UNC UROLOGY CLINIC
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-1316
Provider Business Practice Location Address Fax Number:
919-966-5289
Provider Enumeration Date:
05/19/2008