Graduated: 2020
NPI: 1699366393
Practice Locations (3)
AMERICAN FAMILY CARE FUQUAY PLLC
1298 N MAIN ST
FUQUAY VARINA, NC 275262615
9195904099
SOUTHERN DERMATOLOGY PA
4201 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 276077511
9197822152
AMERICAN FAMILY CARE FUQUAY PLLC
2200 TREELIGHT WAY
WENDELL, NC 275913200
9193740900
Source: CMS National Downloadable File, September 2026.