Provider First Line Business Practice Location Address:
1 UNIVERSITY PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HIGH POINT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27268-1050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-841-4683
Provider Business Practice Location Address Fax Number:
336-888-6353
Provider Enumeration Date:
08/31/2006