Graduated: 1988
NPI: 1609133313
Practice Locations (2)
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
101 MANNING DR
CHAPEL HILL, NC 275144220
9849741000
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.