Provider First Line Business Practice Location Address:
ONE UNIVERSITY DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEMBROKE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-775-5727
Provider Business Practice Location Address Fax Number:
910-775-4125
Provider Enumeration Date:
01/31/2018