Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1639384175
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
2701 PICKETT RD
DURHAM, NC 277055688
9194199600
3811 N ROXBORO ST B
DURHAM, NC 277045800
9194713351
Source: CMS National Downloadable File, September 2026.