Provider First Line Business Practice Location Address:
1834 WAKEFOREST RD
Provider Second Line Business Practice Location Address:
WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
WINSTON SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-758-5218
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2007