Provider First Line Business Practice Location Address:
120 E LINDSAY ST
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:
27401-3008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-272-7139
Provider Business Practice Location Address Fax Number:
336-272-4779
Provider Enumeration Date:
02/21/2007