Pay Bill

Submit Online Payment

There was an issue submitting your information, please double-check the information below:

PATIENT INFORMATION

Patient First Name:

Patient Last Name:

Patient Date of Birth:

Patient Account #:

Patient Billing Address:

City:

State:

Zip:

Contact Phone Number:

Patient Email:

CARD HOLDER INFORMATION

SAME AS PATIENT

Card Holder First Name:

Card Holder Last Name:

Card Holder Billing Address:

City:

State:

Zip:

Contact Phone Number:

Card Holder Email:

REASON FOR PAYMENT

Payment on Account Balance

Pre Payment

Other

Enter Amount

What Can We Help With?

A Location Near You

Winston Salem

3821 Forrestgate Dr

336.448.9100

Greensboro

1002 N Church St, Suite 200

336.448.9100

Charlotte #1

2614 E 7th St, Suite C

980.256.2233

Charlotte #2

131 Providence Rd. Suite 200

980.256.2233

Asheville

900A Centre Park Drive

828.767.1643

Wilmington

1717 Shipyard Blvd STE 210

910.800.2080

Mooresville

128 Medical Park Road, Suite 103

980.447.8200

Cary

160 Macgregor Pines, Suite 206

984.208.7778