Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Aug 23, 2005
License(s)
9701215 (NC), 9701215 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 10035 PARK CEDAR DR STE 100 | Charlotte, NC 28210-8910 | 704-526-0091 |
| LOCATION | 10035 PARK CEDAR DR STE 100 | Charlotte, NC 28210-8910 | 704-526-0091 |
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