Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1984
NPI: 1154314391
Practice Locations (9)
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
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
403 W 15TH ST
Washington, NC 278893524
VIDANT MEDICAL GROUP LLC
628 E 12TH ST, VIDANT BEAUFORT HOSPITALISTS
WASHINGTON, NC 278893409
2529754178
403 W 15TH ST
WASHINGTON, NC 278893524
2529460324
VIDANT MEDICAL GROUP LLC
606 E 12TH ST
WASHINGTON, NC 278893409
2529749460
VIDANT MEDICAL GROUP LLC
608 E 12TH ST, VIDANT MULTISPECIALTY CLINIC WASHIINGTON
WASHINGTON, NC 278893409
2529747500
VIDANT MEDICAL GROUP LLC
1403 S KING ST
WINDSOR, NC 279839666
2527946700
Source: CMS National Downloadable File, September 2026.