Provider First Line Business Practice Location Address:
121 MACNIDER BUILDING
Provider Second Line Business Practice Location Address:
UNIVERSITY OF NORTH CAROLINA DEPARTMENT OF MEDICINE
Provider Business Practice Location Address City Name:
CHAPEL HIL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-7005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-843-5996
Provider Business Practice Location Address Fax Number:
919-966-5775
Provider Enumeration Date:
02/08/2008