Registry details
Type
Organization
Primary specialty
Nurse Practitioner
Enumerated
Feb 22, 2019
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1908 CAUDLE DR STE 105 | Mount Airy, NC 27030-4322 | 336-883-0029 |
| MAILING | 645 N MAIN ST | High Point, NC 27260-5017 | 369-670-8463 |
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