Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 2002
NPI: 1588762686
Practice Locations (2)
NORTH CAROLINA MG LLC
6602 KNIGHTDALE BLVD
KNIGHTDALE, NC 275456525
9842156980
COUNTY OF FRANKLIN
107 INDUSTRIAL DR, SUITE C
LOUISBURG, NC 275492371
91949625332304
Source: CMS National Downloadable File, September 2026.