Registry details
Type
Organization
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Feb 18, 2014
License(s)
2011-01487 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6429 BANNINGTON RD STE B NONE | Charlotte, NC 28226-1345 | |
| LOCATION | 6429 BANNINGTON RD STE B NONE | Charlotte, NC 28226-1345 | 646-283-1344 |
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