Registry details
Type
Individual
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
Jan 10, 2006
License(s)
2005-00626 (NC), 2005-00626 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1099 MEDICAL CENTER DR STE 201 | Wilmington, NC 28401-7346 | 910-251-9944 |
| LOCATION | 720 JEFFERSON ST | Whiteville, NC 28472-3706 | 910-251-9944 |
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