Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 7, 2012
License(s)
2019-00616 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 19305 | Charlotte, NC 28219-9305 | |
| LOCATION | 1025 MOREHEAD MEDICAL DR STE 300 | Charlotte, NC 28204-2963 | 704-446-2060 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.