Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 16, 2007
License(s)
57.011728 (OH), MD26065 (OR), 2010-00215 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 63362 | Charlotte, NC 28263-3362 | |
| LOCATION | 2301 ERWIN RD | Durham, NC 27705-4699 | 919-684-8111 |
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.