Graduated: 2012
NPI: 1538504451
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
2701 PICKETT RD
DURHAM, NC 277055688
9194199600
GASTON FAMILY HEALTH SERVICES INC
991 W HUDSON BLVD
GASTONIA, NC 280526430
7048535079
Source: CMS National Downloadable File, September 2026.