Graduated: 2024
NPI: 1396574687
Practice Locations (3)
THEORIA MEDICAL
411 S LASALLE ST
DURHAM, NC 277053701
2486601220
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
130 JAMES AVE
LOCUST, NC 280974506
7042964508
WAKE SPECIALTY PHYSICIANS LLC
938 N BRIGHTLEAF BLVD
SMITHFIELD, NC 275774331
9192351525
Source: CMS National Downloadable File, September 2026.