Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1457311003
Practice Locations (2)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
147 PEACHTREE LN
ADVANCE, NC 270066753
3369402290
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.