Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
May 14, 2013
License(s)
2020-02439 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6602 KNIGHTDALE BLVD STE 205 | Knightdale, NC 27545-6526 | 984-215-3955 |
| MAILING | 6602 KNIGHTDALE BLVD STE 205 | Knightdale, NC 27545-6526 | 984-215-3955 |
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