Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Jun 27, 2007
License(s)
260725-1 (NY), 141583 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 58 CHAPELTON COURT SUITE 120 | Chapel Hill, NC 27516-8487 | 919-942-2922 |
| MAILING | 58 CHAPELTON COURT SUITE 120 | Chapel Hill, NC 27516 | 919-942-2922 |
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