Graduated: 2006
NPI: 1194851147
Practice Locations (2)
VIDANT MEDICAL GROUP LLC
850 WH SMITH BLVD, VIDANT CARDIOLOGY GREENVILLE
GREENVILLE, NC 278343763
2527583211
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.