Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 6, 2019
License(s)
4351044864 (MI), 91767 (SC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 300 E MCBEE AVE FL 4 | Greenville, SC 29601-2842 | 864-522-8603 |
| LOCATION | 315 MEDICAL PKWY STE 100 | Greer, SC 29650-2455 | 864-454-7422 |
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