Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Jan 14, 2008
License(s)
0010-01146 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4309 EMPEROR BLVD | Durham, NC 27703-8045 | 919-941-0158 |
| MAILING | 4705 UNIVERSITY DR BLDG 700 | Durham, NC 27707-3489 | 919-237-1337 |
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