Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1508946757
Practice Locations (2)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
107 W MEDICAL PARK DR, SUITE 102
LEXINGTON, NC 272926852
3367162255
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.