Provider First Line Business Practice Location Address:
AMBULATORY CARE CENTER 102 MASON FARM RD
Provider Second Line Business Practice Location Address:
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:
315-491-5223
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2018