Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1998
Offers telehealth
NPI: 1225236094
Practice Locations (1)
NORTH CAROLINA MG LLC
4225 MACON POND RD, SUITE 200
RALEIGH, NC 276076320
9197912040
Source: CMS National Downloadable File, September 2026.