Graduated: 2006
NPI: 1417043183
Practice Locations (2)
VIDANT MEDICAL GROUP LLC
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525358011
EAST CAROLINA HEALTH - HERITAGE INC
111 HOSPITAL DR
TARBORO, NC 278862011
2528278101
Source: CMS National Downloadable File, September 2026.