Graduated: 1982
NPI: 1023094653
Practice Locations (4)
BRUNSWICK COMMUNITY HOSPITAL LLC
240 HOSPITAL DR NE
BOLIVIA, NC 284228346
3363997678
CS PACS 3 SOUTHEAST LLC
515 BARBOUR RD
SMITHFIELD, NC 275777698
9199346017
20 MEDICAL CAMPUS DR NW, SUITE 203
SUPPLY, NC 284624094
9107557192
DREAM PROVIDER CARE SERVICES
216 STEWART PKWY
WASHINGTON, NC 278894972
2529460585
Source: CMS National Downloadable File, September 2026.