Provider First Line Business Practice Location Address:
3161 HOUPT BUILDING 170 MANNING DRIVE
Provider Second Line Business Practice Location Address:
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:
919-966-2891
Provider Business Practice Location Address Fax Number:
919-966-6735
Provider Enumeration Date:
04/02/2012