Provider First Line Business Practice Location Address:
5710 HIGH POINT RD STE I
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27407-7047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-299-7000
Provider Business Practice Location Address Fax Number:
336-299-7003
Provider Enumeration Date:
06/09/2006