Graduated: 2021
NPI: 1417609603
Practice Locations (2)
PHYSICIANS EAST PA
152 CROSSOVER RD
BEULAVILLE, NC 285188800
9102984688
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.