Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 20, 2014
License(s)
0010-04740 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 580 W MCLEAN ST | Saint Pauls, NC 28384-1421 | 910-615-3570 |
| MAILING | 405 S MAIN ST | Raeford, NC 28376-3222 | 910-615-5800 |
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