Graduated: 2020
NPI: 1295354512
Practice Locations (2)
EAST CAROLINA UNIVERSITY
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2522093000
VIDANT MEDICAL GROUP LLC
111 HOSPITAL DR
TARBORO, NC 278862011
2526418585
Source: CMS National Downloadable File, September 2026.