Provider First Line Business Practice Location Address:
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL
Provider Second Line Business Practice Location Address:
PHYSICIANS OFFICE BUILDING, 170 MANNING DR., 3RD FLOOR
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-7305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-3856
Provider Business Practice Location Address Fax Number:
919-966-6735
Provider Enumeration Date:
05/24/2006