Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jan 25, 2006
License(s)
107571 (NC), 107571 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 651711 | Charlotte, NC 28265-1711 | 704-873-0281 |
| LOCATION | 218 OLD MOCKSVILLE RD ANESTHESIA DEPT | Statesville, NC 28625-1930 | 704-873-0281 |
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