Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
Offers telehealth
NPI: 1033232277
Practice Locations (3)
EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA, INC.
414 W LEBANON ST
MOUNT AIRY, NC 270302954
3367899492
EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA, INC.
5171 GLENWOOD AVE, SUITE 211
RALEIGH, NC 276123266
9197838898
EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA, INC.
619 SULLIVAN RD
STATESVILLE, NC 286773437
7048710934
Source: CMS National Downloadable File, September 2026.