Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 15, 2013
License(s)
2024-00025 (NC), 010289 (AZ), OS018557 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2001 VAIL AVE | Charlotte, NC 28207-1248 | 704-304-5000 |
| MAILING | 6135 PARK SOUTH DR STE 510 | Charlotte, NC 28210-0100 | 704-749-3116 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.