Provider First Line Business Practice Location Address:
280 BROAD ST STE 280D
Provider Second Line Business Practice Location Address:
FORSYTH INTERNAL MEDICINE - KERNERSVILLE
Provider Business Practice Location Address City Name:
KERNERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27284-2796
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-993-2128
Provider Business Practice Location Address Fax Number:
336-993-5282
Provider Enumeration Date:
02/23/2007