Registry details
Type
Organization
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Aug 4, 2017
License(s)
DO39232 (SC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 10120 IVEY CHASE LN APT 617 | Charlotte, NC 28277-3344 | 814-242-9134 |
| LOCATION | 10120 IVEY CHASE LANE APT 617 | Charlotte, NC 28277 | 814-242-9134 |
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