Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2011
NPI: 1548559628
Practice Locations (5)
VIDANT MEDICAL GROUP LLC
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
VIDANT MEDICAL GROUP LLC
3724 RALEIGH RD PKWY W
WILSON, NC 278969742
2522468840
Source: CMS National Downloadable File, September 2026.