Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Mar 23, 2016
License(s)
2024-01196 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4901 DAWN DR STE 2400 | Lumberton, NC 28360-0006 | 910-671-9298 |
| MAILING | 5221 PARAMOUNT PKWY | Morrisville, NC 27560-5422 |
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