Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2007
NPI: 1730434101
Practice Locations (2)
MED-X CONSULTING PC
10901 WORLD TRADE BLVD
RALEIGH, NC 276174203
9192721026
NORTH CAROLINA MG LLC
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
Source: CMS National Downloadable File, September 2026.