Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Feb 21, 2009
License(s)
25679 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2701 BARTLETT CIR | Hillsborough, NC 27278-6796 | 984-209-3208 |
| MAILING | 5456 SPINDLE RIDGE LN | Gastonia, NC 28056-8515 | 704-765-1945 |
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