Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Apr 2, 2015
License(s)
2024-00240 (NC), 2024-00240 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 804 ENGLISH RD STE 100 | Rocky Mount, NC 27804-6027 | 252-443-3133 |
| MAILING | 804 ENGLISH RD STE 100 | Rocky Mount, NC 27804-6027 | 252-443-3133 |
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