Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Oct 3, 2006
License(s)
2007-00035 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 602530 | Charlotte, NC 28260-2530 | 910-642-1776 |
| LOCATION | 500 JEFFERSON ST | Whiteville, NC 28472-3634 | 910-642-1776 |
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