Provider First Line Business Practice Location Address:
WFU BAPTIST HOSPITAL AUDIOLOGY
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:
27157-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-716-3103
Provider Business Practice Location Address Fax Number:
336-716-7300
Provider Enumeration Date:
04/30/2008