Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Nov 23, 2005
License(s)
29236-20 (WI), 28119 (NC), 29236-20 (WI), 28119 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2001 VAIL AVE STE 200 | Charlotte, NC 28207-1222 | 704-323-2000 |
| MAILING | 4601 PARK RD STE 300 | Charlotte, NC 28209-2290 | 704-323-2248 |
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