Registry details
Type
Organization
Primary specialty
Physician Assistant, Medical
Enumerated
Jan 11, 2012
License(s)
NC103010 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 513 SCENIC CIR | Wilmington, NC 28411-9468 | 910-297-1853 |
| LOCATION | 1606 WELLINGTON AVE STE A | Wilmington, NC 28401-7704 | 910-297-1853 |
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