Provider First Line Business Practice Location Address:
143 W FRANKLIN ST
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27516-2539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-7130
Provider Business Practice Location Address Fax Number:
919-966-6730
Provider Enumeration Date:
08/21/2006