Provider First Line Business Practice Location Address:
1370 WEST D STREET
Provider Second Line Business Practice Location Address:
WILKES REGIONAL MEDICAL CENTER ED
Provider Business Practice Location Address City Name:
NORTH WILKESBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-651-8102
Provider Business Practice Location Address Fax Number:
336-651-8190
Provider Enumeration Date:
06/22/2006