Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 29, 2014
License(s)
37014 (SC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC333 | Charleston, SC 29425 | 843-792-2322 |
| MAILING | PO BOX 751461 | Charlotte, NC 28275-1461 | 843-792-6200 |
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