Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1993
NPI: 1316982580
Practice Locations (2)
FHPG LLC
155 MEMORIAL DR
PINEHURST, NC 283748710
9107152164
VITACORE LLC
375 SE BROAD ST
SOUTHERN PINES, NC 283876000
9106906894
Source: CMS National Downloadable File, September 2026.