Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 26, 2011
License(s)
2016-00548 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 920 CHURCH ST N | Concord, NC 28025-2927 | 704-403-1430 |
| MAILING | PO BOX 2000 | Concord, NC 28026-2000 | 704-403-1430 |
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