Provider First Line Business Practice Location Address:
DEPT. OF NEUROSURGERY, WAKE FOREST UNIVERSITY
Provider Second Line Business Practice Location Address:
BAPTIST MEDICAL CENTER, 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:
27127-7580
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-341-3037
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2009