Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 11, 2009
License(s)
MD60637575 (WA), 265646 (MA), 2022-00809 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3949 BROWNING PL | Raleigh, NC 27609-6536 | 919-787-7411 |
| LOCATION | 3949 BROWNING PL | Raleigh, NC 27609-6536 | 919-787-7411 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.