Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jul 29, 2005
License(s)
15622 (NC), 15622 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 38008 | Greensboro, NC 27438-8008 | 336-545-5000 |
| LOCATION | 3200 NORTHLINE AVE STE 200 | Greensboro, NC 27408-7616 | 336-545-5000 |
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