Graduated: 2024
NPI: 1689560849
Practice Locations (2)
CENTENNIAL HOUSING AND COMMUNITY SERVICES CORPORATION
958 US HWY 64 E
PLYMOUTH, NC 279629216
2527934135
VIDANT MEDICAL GROUP LLC
101 CLINIC DR
TARBORO, NC 278861935
2528232105
Source: CMS National Downloadable File, September 2026.