Provider First Line Business Practice Location Address:
WAKE FOREST BAPTIST HEALTH
Provider Second Line Business Practice Location Address:
DEPT OF NEUROLOGY 9TH FLOOR JANEWAY TOWER
Provider Business Practice Location Address City Name:
WINSTON SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27157-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-971-8328
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/02/2016