Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 2004
Offers telehealth
NPI: 1811101371
Practice Locations (1)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.