Graduated: 2018
NPI: 1780149906
Practice Locations (5)
COUNTY OF PITT OFFICE OF AUDITOR
201 GOVERNMENT CIR
GREENVILLE, NC 278348198
2529022305
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2528471757
VIDANT MEDICAL GROUP LLC
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
Source: CMS National Downloadable File, September 2026.