Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Dec 27, 2010
License(s)
0010-02672 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3202 GREEN VALLEY ROAD | Fayetteville, NC 28301 | 910-892-1778 |
| LOCATION | 1840 OWEN DR | Fayetteville, NC 28304-1633 | 910-223-7246 |
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