Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1740207398
Practice Locations (1)
VIDANT MEDICAL GROUP LLC
144 LIBERTY SQUARE SHOPPING CTR, VIDANT PEDIATRICS KENANSVILLE
KENANSVILLE, NC 283498602
9102750060
Source: CMS National Downloadable File, September 2026.