Provider First Line Business Practice Location Address:
645 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HIGH POINT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27260-5017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-882-7700
Provider Business Practice Location Address Fax Number:
336-882-6700
Provider Enumeration Date:
06/09/2006