Registry details
Type
Individual
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
May 18, 2009
License(s)
258454-1 (NY), 32218 (AL), 2013-02484 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 7200 CREEDMOOR RD SUITE 104 | Raleigh, NC 27613-1710 | 919-518-0999 |
| LOCATION | 7200 CREEDMOOR RD SUITE 104 | Raleigh, NC 27613-1710 | 919-518-0999 |
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