Provider First Line Business Practice Location Address:
231 BAKER ROAD
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:
27263
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-434-4600
Provider Business Practice Location Address Fax Number:
336-434-4610
Provider Enumeration Date:
10/02/2006