Provider First Line Business Practice Location Address:
2608 ERWIN RD
Provider Second Line Business Practice Location Address:
DUKE PERINATAL LAKEVIEW PAVILION
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27705-4596
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-681-1011
Provider Business Practice Location Address Fax Number:
919-681-4244
Provider Enumeration Date:
11/01/2011