Graduated: 2021
NPI: 1326682576
Practice Locations (2)
SOUTHERN DERMATOLOGY PA
7724 RAEFORD RD, SUITE 310
FAYETTEVILLE, NC 283045919
9102026030
SOUTHERN DERMATOLOGY PA
4201 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 276077511
9197822152
Source: CMS National Downloadable File, September 2026.