Provider First Line Business Practice Location Address:
1000 SPRING GARDEN STREET
Provider Second Line Business Practice Location Address:
ANNA GOVE STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27402-6170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-334-3142
Provider Business Practice Location Address Fax Number:
336-334-5343
Provider Enumeration Date:
07/13/2005