Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Aug 5, 2011
License(s)
T2011-082 (AR), 0101250686 (VA), 2014-00282 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3000 NEW BERN AVE | Raleigh, NC 27610-1231 | 479-441-3396 |
| MAILING | 2920 HIGHWOODS BLVD | Raleigh, NC 27604-0010 | 877-498-4490 |
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