Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 17, 2007
License(s)
0101239760 (VA), 2014-01997 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6135 PARK SOUTH DR STE 510 | Charlotte, NC 28210-0100 | 704-749-3116 |
| LOCATION | 1000 BLYTHE BLVD | Charlotte, NC 28203-5812 | 704-355-2000 |
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