Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Apr 11, 2012
License(s)
2014-01836 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 650 JULIAN RD | Salisbury, NC 28147-9078 | 704-637-3373 |
| MAILING | PO BOX 60447 | Charlotte, NC 28260-0447 | 704-637-3373 |
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