Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1154304863
Practice Locations (2)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
1014 N ELM ST
GREENSBORO, NC 274011424
3367162734
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.