Graduated: 2022
NPI: 1194534081
Practice Locations (2)
PHYSICIANS EAST PA
3681 N MAIN ST, SUITE 114
FARMVILLE, NC 278281464
2527537141
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.