Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1998
NPI: 1710912837
Practice Locations (1)
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
500 S FAYETTEVILLE ST
SALEMBURG, NC 283858406
9105255515
Source: CMS National Downloadable File, September 2026.