Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2002
Offers telehealth
NPI: 1568496883
Practice Locations (1)
EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA, INC.
2206 WRIGHTSVILLE AVE, SUITE A
WILMINGTON, NC 284032406
9107636499
Source: CMS National Downloadable File, September 2026.