Graduated: 2012
NPI: 1124383062
Practice Locations (2)
VIDANT MEDICAL GROUP LLC
521 MOYE BLVD C
GREENVILLE, NC 278342849
2527441440
RALEIGH MEDICAL GROUP PA
2402 CAMDEN ST SW, SUITE 300
WILSON, NC 278934495
2522374100
Source: CMS National Downloadable File, September 2026.