Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 11, 2020
License(s)
2024-02409 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2301 ERWIN RD | Durham, NC 27705-4699 | 919-684-8111 |
| MAILING | PO BOX 63362 | Charlotte, NC 28263-3362 |
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