Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Apr 27, 2016
License(s)
2023-03360 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2100 STANTONSBURG RD | Greenville, NC 27834-2818 | 252-847-4100 |
| MAILING | 1017 RIVERSTONE DR | Greenville, NC 27858-7736 | 318-538-8818 |
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.