Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Apr 24, 2021
License(s)
2025-00346 (NC), 2025-00346 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 118 KNOX WAY | Chapel Hill, NC 27516-6610 | 984-205-4603 |
| MAILING | PEDIATRIC EDUCATION OFFICE CAMPUS BOX 7593 | Chapel Hill, NC 27599-7593 |
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