Provider First Line Business Practice Location Address:
600 MOYE BLVD, 2ED
Provider Second Line Business Practice Location Address:
ECU BRODY SCHOOL OF MEDICINE DEPT OF SURGERY
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-847-4299
Provider Business Practice Location Address Fax Number:
252-847-8208
Provider Enumeration Date:
05/18/2007