Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 1991
NPI: 1124034202
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
201 MCCULLOUGH DR, SUITE 310
CHARLOTTE, NC 282623577
7045471129
SOUTH LAKE EARS NOSE AND THROAT PA
9710 SAM FURR RD, UNIT D
HUNTERSVILLE, NC 280784928
7048961909
Source: CMS National Downloadable File, September 2026.