Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Aug 30, 2005
License(s)
900063 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 429 | Edenton, NC 27932-0429 | 252-482-2116 |
| LOCATION | 201 VIRGINIA RD | Edenton, NC 27932-9668 | 252-482-2116 |
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