Provider First Line Business Practice Location Address:
102 MASON FARM ROAD
Provider Second Line Business Practice Location Address:
GENERAL INTERNAL MEDICINE CLINIC
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-7745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-5596
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2011