Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Nov 8, 2005
License(s)
NC23100 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 118 N ELLIS ST | Salisbury, NC 28144-4216 | 704-637-5401 |
| LOCATION | 118 N ELLIS ST | Salisbury, NC 28144-4216 | 704-637-5401 |
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