Registry details
Type
Individual
Primary specialty
Internal Medicine, Gastroenterology
Enumerated
Aug 21, 2009
License(s)
270637 (NY), 01079615A (IN), 2018-00554 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 986 | Oxford, NC 27565-0986 | 919-690-3487 |
| LOCATION | 103 PROFESSIONAL PARK | Oxford, NC 27565 | 919-690-3000 |
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