Graduated: 2016
NPI: 1245769199
Practice Locations (2)
BLADEN HEALTHCARE LLC
501 S POPLAR ST
ELIZABETHTOWN, NC 283379375
9108621276
VIDANT MEDICAL GROUP LLC
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525358240
Source: CMS National Downloadable File, September 2026.