Graduated: 2007
NPI: 1477723765
Practice Locations (2)
WAKE FOREST EMERGENCY PROVIDERS
1200 N ELM ST
GREENSBORO, NC 274011004
3367162255
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 296817204
8643290029
Source: CMS National Downloadable File, September 2026.