Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Jun 5, 2007
License(s)
036.117133 (IL), 2008-01134 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5213 S ALSTON AVE | Durham, NC 27713-4430 | 919-684-8111 |
| LOCATION | 40 DUKE MEDICINE CIR | Durham, NC 27710-4000 | 919-684-8111 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.