Provider First Line Business Practice Location Address:
320 EMERGENCY ROOM DR JAMES A TAYLOR BUILDING
Provider Second Line Business Practice Location Address:
CB#7470 UNC-CH
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:
919-966-3650
Provider Business Practice Location Address Fax Number:
919-966-6248
Provider Enumeration Date:
12/13/2006