Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 6, 2014
License(s)
201801837 (NC), 2018-01837 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 101 MANNING DR | Chapel Hill, NC 27514-4220 | 919-966-7890 |
| MAILING | 1428 LILY ESTATES DR | Raleigh, NC 27614-6003 | 407-791-8365 |
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