Graduated: 2020
NPI: 1700528866
Practice Locations (2)
OUTER BANKS PROFESSIONAL SERVICES, LLC
4800 S CROATAN HWY
NAGS HEAD, NC 279599704
2524494500
VIDANT MEDICAL GROUP LLC
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 278704914
2525358011
Source: CMS National Downloadable File, September 2026.