Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1356304588
Practice Locations (2)
3320 EXECUTIVE DR, SUITE 222
RALEIGH, NC 276097445
3320 EXECUTIVE DR, SUITE 222
RALEIGH, NC 276097445
9198771100
Source: CMS National Downloadable File, September 2026.