Graduated: 1978
NPI: 1063408607
Practice Locations (7)
VIDANT MEDICAL GROUP LLC
850 WH SMITH BLVD, VIDANT CARDIOLOGY GREENVILLE
GREENVILLE, NC 278343763
2527583211
VIDANT MEDICAL GROUP LLC
2325 STANTONSBURG RD
GREENVILLE, NC 278347534
9197314048
VIDANT MEDICAL GROUP LLC
800 WH SMITH BLVD
GREENVILLE, NC 278343763
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.