Graduated: 2020
NPI: 1639777212
Practice Locations (2)
DUKE HEALTH INTEGRATED PRACTICE INC
2301 ERWIN RD
DURHAM, NC 277054699
9196848111
NORTH CAROLINA MG LLC
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
9842154000
Source: CMS National Downloadable File, September 2026.