Registry details
Type
Individual
Primary specialty
Internal Medicine, Nephrology
Enumerated
Sep 7, 2010
License(s)
12774 (ND), 12774 (ND), 2020-03114 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1640 CAMPUS PARK DR | Monroe, NC 28112-5283 | 704-731-6949 |
| MAILING | 3158 FREEDOM DR STE 3102 | Charlotte, NC 28208-0014 | 704-971-7099 |
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