Provider First Line Business Practice Location Address:
200 W LEXINGTON AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
HIGH POINT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27262-2596
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-884-0800
Provider Business Practice Location Address Fax Number:
336-884-0801
Provider Enumeration Date:
03/06/2007