Provider First Line Business Practice Location Address:
501 HICKORY BRANCH DR
Provider Second Line Business Practice Location Address:
DBA PRIMECARE HICKORY BRANCH
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27409-9601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-878-2260
Provider Business Practice Location Address Fax Number:
336-878-2277
Provider Enumeration Date:
05/02/2006