Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Apr 20, 2006
License(s)
N-6055 (AR), 27416 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 607 E PARKER RD | Morganton, NC 28655-8105 | 828-433-0225 |
| MAILING | 607 E PARKER RD | Morganton, NC 28655-8105 | 828-433-0225 |
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