Provider First Line Business Practice Location Address:
W. S. S. U., A. H. RAY STUDENT HEALTH CENTER
Provider Second Line Business Practice Location Address:
601 MARTIN LUTHER KING, JR., DR.
Provider Business Practice Location Address City Name:
WINSTON-SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27110-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-750-3302
Provider Business Practice Location Address Fax Number:
336-750-3303
Provider Enumeration Date:
02/13/2006