Washington
Thurston
Lacey
Family Medicine
canceled
G29171
male
1971
medical activities:
no activities identified
license issued on April 22, 1975;
Family / General
Specialist for: Family Practice
The Bowman Gray School of Medicine of Wake Forest University (graduated in 1971)
Graduated in year 1971, Medical School: Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC 27157
Capital Medical Center
Providence Saint Peter Hospital
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Profile ID: FRUS-MDS-P-100097