Graduated: 1998
NPI: 1730349531
Practice Locations (2)
NOVANT HEALTH MEDICAL GROUP, LLC
612 MOCKSVILLE AVE
SALISBURY, NC 281442732
7042105000
FORSYTH MEMORIAL HOSPITAL INC
175 KIMEL PARK DR, SUITE 100
WINSTON SALEM, NC 271036951
3367183550
Source: CMS National Downloadable File, September 2026.