Graduated: 2015
NPI: 1275915001
Practice Locations (6)
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2528471757
VIDANT MEDICAL GROUP LLC
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
NORTH CAROLINA MG LLC
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
NORTH CAROLINA MG LLC
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 275774407
9842154000
Source: CMS National Downloadable File, September 2026.