Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Sep 20, 2005
License(s)
41288-020 (WI), 200100994 (NC), 200100994 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1025 MEDICAL CENTER DR | Wilmington, NC 28401-7354 | 910-762-3882 |
| MAILING | 1025 MEDICAL CENTER DR | Wilmington, NC 28401-7354 | 910-762-3882 |
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