Graduated: 1989
NPI: 1619954948
Practice Locations (6)
VIDANT MEDICAL GROUP LLC
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
VIDANT MEDICAL GROUP LLC
212 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525371717
VIDANT MEDICAL GROUP LLC
220 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525379268
VIDANT MEDICAL GROUP LLC
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525358240
Source: CMS National Downloadable File, September 2026.