Provider First Line Business Practice Location Address:
DEPT OF PEDIATRICS DUKE UNIVERSITY MEDICAL CTR
Provider Second Line Business Practice Location Address:
2301 ERWIN RD., CHILDREN'S HEALTH CENTER, DUKE UNIVERSI
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:
919-668-0477
Provider Business Practice Location Address Fax Number:
919-681-8943
Provider Enumeration Date:
04/19/2012