Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 13, 2005
License(s)
23826 (SC), 200300546 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 700 E MOREHEAD ST STE 300 | Charlotte, NC 28202-2788 | 704-334-7800 |
| MAILING | 700 E MOREHEAD ST STE 300 | Charlotte, NC 28202-2788 | 704-334-7800 |
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