Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Mar 24, 2020
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1200 N ELM ST | Greensboro, NC 27401-1004 | 336-207-7005 |
| MAILING | PO BOX 10467 | Greensboro, NC 27404-0467 | 336-207-7005 |
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