Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 1, 2019
License(s)
2025-01489 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 KIMEL FOREST DR | Winston Salem, NC 27103-6074 | 336-716-2255 |
| LOCATION | 131 MILLER ST | Winston Salem, NC 27103-2508 | 336-716-8200 |
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