Graduated: 2021
NPI: 1265019970
Practice Locations (2)
WAKE FOREST EMERGENCY PROVIDERS
920 CHURCH ST N
CONCORD, NC 280252927
7044033000
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
701 GROVE RD
GREENVILLE, SC 296054210
8647977100
Source: CMS National Downloadable File, September 2026.