Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 29, 2015
License(s)
83512 (SC), 58.006044 (OH), 58.006044 (OH), 34.128547 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 700 E MOREHEAD ST STE 300 | Charlotte, NC 28202-2742 | |
| LOCATION | 700 E MOREHEAD ST STE 300 | Charlotte, NC 28202-2742 | 704-334-7800 |
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