Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
May 3, 2006
License(s)
16204 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1099 MEDICAL CENTER DR | Wilmington, NC 28401-7346 | 910-251-9944 |
| LOCATION | 1099 MEDICAL CENTER DR | Wilmington, NC 28401-7346 | 910-251-9944 |
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