Provider First Line Business Practice Location Address:
DEPT OF OB/GYN - MATERNAL FETAL MEDICINE
Provider Second Line Business Practice Location Address:
WAKE FOREST UNIV. SCHOOL OF MEDICINE
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:
336-716-6893
Provider Business Practice Location Address Fax Number:
335-716-6937
Provider Enumeration Date:
10/14/2005