Provider First Line Business Practice Location Address:
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-713-5681
Provider Business Practice Location Address Fax Number:
336-713-5677
Provider Enumeration Date:
06/12/2006