Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1669470191
Practice Locations (1)
NORTH CAROLINA MG LLC
1505 SW CARY PKWY, SUITE 300
CARY, NC 275116219
9193873260
Source: CMS National Downloadable File, September 2026.