Provider First Line Business Practice Location Address:
PIEDMONT TRIAD ANESTHESIA, PA
Provider Second Line Business Practice Location Address:
145 KIMEL PARK DR.
Provider Business Practice Location Address City Name:
WINSTON SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-768-3212
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/10/2006