Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
Offers telehealth
NPI: 1548217490
Practice Locations (1)
NORTH CAROLINA MG LLC
2901 BLUE RIDGE RD
RALEIGH, NC 276076423
9197843105
Source: CMS National Downloadable File, September 2026.