Graduated: 1995
NPI: 1598795635
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
20 W MEDICAL CT
MARION, NC 287524968
8286598049
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
2659 US 70
VALDESE, NC 286909517
8285804080
Source: CMS National Downloadable File, September 2026.