Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Mar 14, 2007
License(s)
103064 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2238 NELSON HWY | Chapel Hill, NC 27517-8914 | 919-401-1994 |
| LOCATION | 2238 NELSON HWY | Chapel Hill, NC 27517-8914 | 919-401-1994 |
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