Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Jul 11, 2006
License(s)
21585 (WV), 21585 (WV), 2012-00923 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1850 W ARLINGTON BLVD | Greenville, NC 27834-5704 | 252-413-6740 |
| LOCATION | 1850 W ARLINGTON BLVD | Greenville, NC 27834-5704 | 252-413-6740 |
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