Graduated: 2006
NPI: 1629559000
Practice Locations (2)
WAKE FOREST BAPTIST IMAGING LLC
265 EXECUTIVE PARK BLVD
WINSTON SALEM, NC 271031503
3367655722
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.