Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 8, 2020
License(s)
MD.51035 (AL), 261792 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1313 13TH ST S STE 230 | Birmingham, AL 35205-5327 | 205-930-7081 |
| MAILING | 1036 FLAGLER ST | Durham, NC 27713-8377 | 919-995-2725 |
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