Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 14, 2006
License(s)
0101270438 (VA), 9901097 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3000 NEW BERN AVE | Raleigh, NC 27610 | 919-350-7000 |
| MAILING | 5220 GREENS DAIRY RD | Raleigh, NC 27616-4612 | 919-256-3576 |
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