Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1619094547
Practice Locations (2)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
500 SHEPHERD ST
WINSTON SALEM, NC 271031633
3367162734
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.