Provider First Line Business Practice Location Address:
2300 BEASLEY DRIVE, DOCTORS PARK 6A
Provider Second Line Business Practice Location Address:
BRODY SCHOOL OF MED, ECU-DIVISION OF INFECTIOUS DISEASE
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:
252-744-3256
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2011