Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 29, 2010
License(s)
2016-01835 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1 COPLEY PKWY | Morrisville, NC 27560-9693 | 919-649-0936 |
| MAILING | 5468 ALAMO DRIVE | Winston Salem, NC 27104 | 919-649-0936 |
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