Registry details
Type
Individual
Primary specialty
Internal Medicine, Nephrology
Enumerated
Jun 29, 2007
License(s)
29985 (SC), 29985 (SC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 171 ASHLEY AVE | Charleston, SC 29425-8900 | 843-792-2911 |
| MAILING | PO BOX 751461 | Charlotte, NC 28275-1461 | 843-792-6200 |
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