Graduated: 2024
NPI: 1699666156
Practice Locations (2)
COMPLEXCARE MEDICAL GROUP MIDWEST M PLLC
128 SNOW HILL ST
AYDEN, NC 285137237
2527468223
THEORIA MEDICAL
969 COX RD
GASTONIA, NC 280543455
2486601220
Source: CMS National Downloadable File, September 2026.