Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 1, 2018
License(s)
RTL23-0138 (NC), MT215518 (PA), 2024-01426 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 300 W 27TH ST | Lumberton, NC 28358-3075 | 423-331-0154 |
| MAILING | 5221 PARAMOUNT PKWY STE 220 | Morrisville, NC 27560-5490 |
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