Provider First Line Business Practice Location Address:
WAKE FOREST BAPTIST HEALTH DEPT OF NEUROLOGICAL SURGERY
Provider Second Line Business Practice Location Address:
MEDICAL CENTER BLVD
Provider Business Practice Location Address City Name:
WINSTON-SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27157-1029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-716-6053
Provider Business Practice Location Address Fax Number:
336-716-3065
Provider Enumeration Date:
07/21/2017