Provider First Line Business Practice Location Address:
1200 N ELM STREET
Provider Second Line Business Practice Location Address:
MOSES CONE HEALTH SYSTEM, ADMINISTRATIVESERVICES,STE201
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27401-1020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-832-9943
Provider Business Practice Location Address Fax Number:
336-832-8272
Provider Enumeration Date:
11/22/2010