Graduated: 1984
NPI: 1659571677
Practice Locations (2)
PHYSICIANS EAST PA
1850 W ARLINGTON BLVD
GREENVILLE, NC 278345704
2524136641
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.