Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Mar 27, 2011
License(s)
2016-01108 (NC), 2016-01108 (NC), 2016-01108 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1135 CARTHAGE ST | Sanford, NC 27330-4162 | 919-774-2350 |
| MAILING | 260 LEIGH FARM RD APT 401 | Durham, NC 27707-8127 | 401-480-4859 |
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