Graduated: 1990
NPI: 1437273257
Practice Locations (4)
VIDANT MEDICAL GROUP LLC
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
VIDANT MEDICAL GROUP LLC
2704 N MAIN ST
TARBORO, NC 278861918
2528236333
Source: CMS National Downloadable File, September 2026.