Provider First Line Business Practice Location Address:
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY M
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINSTON SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27157-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-716-4551
Provider Business Practice Location Address Fax Number:
336-716-9642
Provider Enumeration Date:
03/22/2025