Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1992
NPI: 1750368726
Practice Locations (1)
NOVANT HEALTH MEDICAL GROUP, LLC
501 OLDE WATERFORD WAY
LELAND, NC 284514117
9107214370
Source: CMS National Downloadable File, September 2026.