Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 2004
NPI: 1770547580
Practice Locations (2)
NORTH CAROLINA MG LLC
1830 FORDHAM BLVD, SUITE 100
CHAPEL HILL, NC 275142301
9193643312
NORTH CAROLINA MG LLC
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
Source: CMS National Downloadable File, September 2026.