Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1780681015
Practice Locations (2)
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
395 W 27TH ST
LUMBERTON, NC 283583018
9107397551
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
730 OAKRIDGE BLVD
LUMBERTON, NC 283582324
9107382662
Source: CMS National Downloadable File, September 2026.