Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jul 26, 2007
License(s)
54855 (KY), 67919 (GA), L1150965 (MI), 2022-00031 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2460 CURTIS ELLIS DR | Rocky Mount, NC 27804-2237 | 919-966-5136 |
| MAILING | 2460 CURTIS ELLIS DR | Rocky Mount, NC 27804-2237 |
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