Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1984
NPI: 1437144714
Practice Locations (2)
ACTIVE LIFE HEALTH OF CARY PLLC
400 ASHVILLE AVE, SUITE 330
CARY, NC 275186134
9193712371
ACTIVE LIFE HEALTH OF GREENSBORO PLLC
1414 YANCEYVILLE ST, SUITE 200
GREENSBORO, NC 274056947
3364295993
Source: CMS National Downloadable File, September 2026.