Registry details
Type
Individual
Primary specialty
Internal Medicine, Medical Oncology
Enumerated
Aug 22, 2009
License(s)
2017-02090 (NC), 2017-02090 (NC), 2017-02090 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 19305 | Charlotte, NC 28219-9305 | |
| LOCATION | 15830 BALLANTYNE MEDICAL PL STE 200 | Charlotte, NC 28277-4653 | 980-442-9600 |
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