Provider First Line Business Practice Location Address:
EASTERN NEPHROLOGY ASSOCIATES, PLLC
Provider Second Line Business Practice Location Address:
1302 MEDICAL CENTER DRIVE
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-343-9800
Provider Business Practice Location Address Fax Number:
910-343-8650
Provider Enumeration Date:
04/22/2014