Graduated: 1992
NPI: 1174577407
Practice Locations (2)
EMERGEORTHO PA
120 WILLIAM PENN PLZ
DURHAM, NC 277042150
9192205255
PROACTIVE THERAPY OF NORTH CAROLINA INC
20 W MEDICAL CT
MARION, NC 287524968
8286598049
Source: CMS National Downloadable File, September 2026.