Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1457529562
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
10205 US HWY 15-510, SUITE 24
SOUTHERN PINES, NC 28387
9107045430
PINEHURST SURGICAL CLINIC PA
205 PAVILION WAY, SUITE 100
SOUTHERN PINES, NC 283874565
9102956831
Source: CMS National Downloadable File, September 2026.