Graduated: 2015
NPI: 1053779504
Practice Locations (2)
EAST CAROLINA UNIVERSITY
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2522093000
VIDANT MEDICAL GROUP LLC
1403 S KING ST
WINDSOR, NC 279839666
2527946750
Source: CMS National Downloadable File, September 2026.