Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 1993
NPI: 1164488797
Practice Locations (2)
FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY P.A.
1839 QUIET CV
FAYETTEVILLE, NC 283043857
9103231463
MCPC-28, LLC
1839 QUIET CV
FAYETTEVILLE, NC 283043857
9103231463
Source: CMS National Downloadable File, September 2026.