Provider First Line Business Practice Location Address:
181 MEDICAL CENTER ROAD
Provider Second Line Business Practice Location Address:
WEST WILKES MEDICAL CENTER
Provider Business Practice Location Address City Name:
FERGUSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28624-8925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-973-5060
Provider Business Practice Location Address Fax Number:
336-973-5150
Provider Enumeration Date:
09/06/2011