Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 4, 2018
License(s)
100443 (GA), 2023-01462 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2001 VAIL AVE STE 200 | Charlotte, NC 28207 | 704-323-2564 |
| MAILING | 4601 PARK RD STE 300 | Charlotte, NC 28209 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.