Registry details
Type
Individual
Primary specialty
Internal Medicine, Interventional Cardiology
Enumerated
Jul 26, 2005
License(s)
2002-01039 (NC), 26703 (SC), 200201039 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2555 COURT DR SUITE 300 | Gastonia, NC 28054-2134 | 704-868-3256 |
| LOCATION | 2555 COURT DR SUITE 300 | Gastonia, NC 28054-2134 | 704-868-3256 |
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