Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
May 31, 2006
License(s)
9600838 (NC), 9600838 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 904 N HOWE ST | Southport, NC 28461-3038 | 910-341-3300 |
| MAILING | 1202 MEDICAL CENTER DR | Wilmington, NC 28401-7307 | 910-341-3300 |
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