Graduated: 2021
NPI: 1326631714
Practice Locations (2)
RALEIGH NEUROSURGICAL CLINIC INC
2605 HOSPITAL RD
GOLDSBORO, NC 275349424
9197853400
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.