Fourth Elm Construction is a commercial General Contractor based in the Piedmont-Triad region of North Carolina, serving clients across North Carolina, South Carolina, Virginia and Tennessee. 

The Fourth Elm Construction team brings a broad level of expertise to a construction project; this experience includes work in the office, industrial, medical, retail, residential/senior living and automotive market sectors. We provide pre-construction/estimating, design-build, facility maintenance, and construction management/supervision services.

Fourth Elm Construction was named one of the
 Fastest Growing Companies in 2019, 2020 & 2021

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