Graduated: 2015
NPI: 1326420928
Practice Locations (2)
WAKEMED SPECIALISTS GROUP LLC
3000 NEW BERN AVE
RALEIGH, NC 276101231
9193507270
NORTH CAROLINA MG LLC
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 275774407
9842154000
Source: CMS National Downloadable File, September 2026.