Registry details
Type
Individual
Primary specialty
Internal Medicine, Critical Care Medicine
Enumerated
Nov 9, 2007
License(s)
2014-02352 (NC), 37474 (SC), 2014-02352 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 60447 | Charlotte, NC 28260-0447 | 704-384-9200 |
| LOCATION | 1450 MATTHEWS TOWNSHIP PKWY STE 380 | Matthews, NC 28105-2389 | 704-384-9200 |
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