Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Apr 15, 2021
License(s)
303222 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 270 COPPERFIELD BLVD NE STE 202 | Concord, NC 28025-2441 | 704-721-2060 |
| LOCATION | 4949 PROFESSIONAL PARK DR STE 101 | Kannapolis, NC 28081-8638 | 704-938-6521 |
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