Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology
Enumerated
Jun 14, 2016
License(s)
2023-00650 (NC), 2023-00650 (NC), 2023-00650 (NC), 2023-00650 (NC), 2023-00650 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 19305 | Charlotte, NC 28219-9305 | |
| LOCATION | 945 N 5TH ST | Albemarle, NC 28001-3417 | 980-323-7790 |
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