Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
May 15, 2013
License(s)
2016-01476 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 137 MEDICAL LN | Pollocksville, NC 28573-8200 | 252-633-1010 |
| MAILING | PO BOX 896206 | Charlotte, NC 28289-6206 | 252-633-1010 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.