Provider First Line Business Practice Location Address:
1010 EDGEHILL RD N
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROLOGY
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28207-1885
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-355-9434
Provider Business Practice Location Address Fax Number:
704-355-9296
Provider Enumeration Date:
02/27/2013