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. We are a construction company dedicated and focused on our client construction goals; along the way, we improve the built environment and build meaningful relationships within the communities we serve.

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, and construction management/supervision services.

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

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Recent News


Top 5 General Contractor

Fourth Elm Construction has been recognized as a Top 5 Triad General Contractor by the Triad Business Journal based on 2020 Revenue.  As such a young company,

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Aurobindo Pharma

A pharmaceutical firm is expanding at its regional headquarters in Durham by outfitting over 17,000 square feet of shell space to accommodate new manufacturing operations.

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