Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Apr 13, 2011
License(s)
0010-02940 (NC), 0010-02940 (NC), 0010-02940 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 959 MERRIMON AVE STE 9A | Asheville, NC 28804-2353 | 828-419-0195 |
| MAILING | 2311 US 70 HWY UNIT 1039 | Swannanoa, NC 28778-0179 | 336-255-5371 |
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