Provider First Line Business Practice Location Address:
DUKE UNIVERSITY MEDICAL CTR
Provider Second Line Business Practice Location Address:
ECT PROGRAM DUMC BOX 3309, HOSPITAL SOUTH, TRENT AVE
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27710-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-684-3996
Provider Business Practice Location Address Fax Number:
919-681-7343
Provider Enumeration Date:
08/18/2008