Graduated: 1995
NPI: 1629028238
Practice Locations (2)
OUTER BANKS PROFESSIONAL SERVICES, LLC
4810 S CROATAN HWY, SUITE 250
NAGS HEAD, NC 27959
2524499120
TIDEWATER NEUROLOGISTS INC PC
3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 237033200
7576869300
Source: CMS National Downloadable File, September 2026.