Graduated: 2022
NPI: 1740991504
Practice Locations (3)
SOUTHERN DERMATOLOGY PA
308 S BENNETT ST
BURGAW, NC 284255048
9102519944
SOUTHERN DERMATOLOGY PA
4201 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 276077511
9197822152
SOUTHERN DERMATOLOGY PA
1099 MEDICAL CTR DR, UNIT 200300
WILMINGTON, NC 284017346
9102519944
Source: CMS National Downloadable File, September 2026.