Graduated: 2013
NPI: 1790455871
Practice Locations (2)
EAST CAROLINA UNIVERSITY
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2522093000
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
Source: CMS National Downloadable File, September 2026.