Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Mar 25, 2020
License(s)
2024-01281 (NC), 2014-01281 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 KIMEL FOREST DR | Winston Salem, NC 27103-6074 | 336-716-2255 |
| LOCATION | MEDICAL CENTER BLVD | Winston Salem, NC 27157-0001 | 336-716-3245 |
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