Provider First Line Business Practice Location Address:
385 SOUTH COLUMBIA STREET
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:
27599-2942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-537-3832
Provider Business Practice Location Address Fax Number:
919-537-3589
Provider Enumeration Date:
07/30/2010