Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1487857025
Practice Locations (11)
COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
1538 13TH AVE, SUITE A
COLUMBUS, GA 319012544
7063234000
PIEDMONT PROVIDERS LLC
330 HOSPITAL DR, SUITE 315
MACON, GA 312178042
4787425331
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2528471757
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
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
441 MCALISTER RD, SUITE 1200
LINCOLNTON, NC 280924127
9802126200
VIDANT MEDICAL GROUP LLC
212 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525371717
VIDANT MEDICAL GROUP LLC
220 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525379268
VIDANT MEDICAL GROUP LLC
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525358240
HARTSVILLE MEDICAL GROUP LLC
701 MEDICAL PARK DR, SUITE 110
HARTSVILLE, SC 295504777
8436561204
Source: CMS National Downloadable File, September 2026.