Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1995
NPI: 1700873460
Practice Locations (2)
THEORIA MEDICAL
620 JOHNS RD
LAURINBURG, NC 283525128
2486601220
WAKEMED SPECIALISTS GROUP LLC
2930 FORESTVILLE RD
RALEIGH, NC 276168774
9192356500
Source: CMS National Downloadable File, September 2026.