Graduated: 1999
NPI: 1790933802
Practice Locations (3)
EAST CAROLINA UNIVERSITY
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2522093000
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2528471757
EAST CAROLINA UNIVERSITY
600 MOYE BLVD
GREENVILLE, NC 278344300
2527444611
Source: CMS National Downloadable File, September 2026.