Provider First Line Business Practice Location Address:
DEPT. GENETICS, 103 MASON FARM RD.
Provider Second Line Business Practice Location Address:
4200C MBRB
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-9437
Provider Business Practice Location Address Fax Number:
919-966-4151
Provider Enumeration Date:
11/21/2005