Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jun 14, 2005
License(s)
9601207 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2936 N ELM ST STE 102 | Lumberton, NC 28358-2981 | 910-671-6619 |
| MAILING | 2002 N CEDAR ST STE B | Lumberton, NC 28358-3926 | 910-272-3048 |
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