Graduated: 2017
NPI: 1356861215
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
PHYSICIANS EAST PA
4796 OLD TAR RD
WINTERVILLE, NC 285909752
2523554111
Source: CMS National Downloadable File, September 2026.