Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1700953940
Practice Locations (1)
MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA
5130 SOUTHPORT SUPPLY RD SE, UNIT 101 1
SOUTHPORT, NC 284619261
9102692053
Source: CMS National Downloadable File, September 2026.