Provider First Line Business Practice Location Address:
830 ROCKFORD ST
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
MT AIRY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27030-5322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-786-6068
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/06/2005