Graduated: 2004
NPI: 1659576023
Practice Locations (2)
OUTER BANKS PROFESSIONAL SERVICES, LLC
4800 S CROATAN HWY
NAGS HEAD, NC 279599704
2524494500
EMERGENCY COVERAGE LLC
1705 TARBORO ST SW
WILSON, NC 278933428
2523998101
Source: CMS National Downloadable File, September 2026.