Provider First Line Business Practice Location Address:
800 W CLEMMONSVILLE RD
Provider Second Line Business Practice Location Address:
DBA ARCADIA FAMILY PRACTICE II
Provider Business Practice Location Address City Name:
WINSTON SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27127-5006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-788-9702
Provider Business Practice Location Address Fax Number:
336-788-0522
Provider Enumeration Date:
01/19/2007