Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Mar 14, 2006
License(s)
036106177 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3643 N ROXBORO ST | Durham, NC 27704-2702 | 919-470-8466 |
| MAILING | 115A MEADOWBROOK DR | Chapel Hill, NC 27514-2746 | 919-448-7494 |
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