Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
May 6, 2024
License(s)
001015066 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 304 10TH AVE NE | Hickory, NC 28601-3883 | 980-241-2963 |
| MAILING | 419 N CEDAR ST | Lincolnton, NC 28092-2804 | 980-241-2963 |
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