Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 1, 2016
License(s)
2021-00711 (NC), 267965 (MA), 22946 (NH), 22946 (NH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | WFU SCHOOL OF MEDICINE DEPARTMENT OF ORTHOPEDIC SURGERY | Winston Salem, NC 27157-4001 | 336-716-4011 |
| MAILING | 264 PLEASANT ST | Concord, NH 03301-2551 | 603-224-3368 |
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