Graduated: 2019
NPI: 1659834539
Practice Locations (2)
EAST CAROLINA UNIVERSITY
101 HEART DR
GREENVILLE, NC 278348982
2527443109
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.