Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1538141999
Practice Locations (2)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 271013006
3367139800
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.