Registry details
Type
Individual
Primary specialty
Nuclear Medicine
Enumerated
Jun 25, 2008
License(s)
LL31029 (SC), 93832 (GA), 0101285373 (VA), 0101285373 (VA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 749112 | Atlanta, GA 30374-9112 | 434-295-1000 |
| LOCATION | 1215 LEE ST | Charlottesville, VA 22908-9104 | 434-924-9400 |
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