Provider First Line Business Practice Location Address:
1920 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HIGH POINT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27260-4425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-885-5200
Provider Business Practice Location Address Fax Number:
336-885-5250
Provider Enumeration Date:
01/04/2007