Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jun 8, 2006
License(s)
39757 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 145 KIMEL PARK DR STE 120 | Winston Salem, NC 27103-6983 | 336-768-3212 |
| MAILING | 145 KIMEL PARK DR STE 120 | Winston Salem, NC 27103-6983 | 336-768-3212 |
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