Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 2015
NPI: 1265809990
Practice Locations (2)
VIDANT MEDICAL GROUP LLC
101 S CAREY ST
LA GRANGE, NC 285511805
2525664021
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.