Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1997
NPI: 1184608739
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
20 W MEDICAL CT
MARION, NC 287524968
8286598049
BHS PHYSICIANS NETWORK, INC
4920 NE STALLINGS DR
NACOGDOCHES, TX 759651254
9365683541
Source: CMS National Downloadable File, September 2026.