Graduated: 2014
NPI: 1831595529
Practice Locations (2)
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
20 S MEDICAL CT
MARION, NC 287524972
8285801750
PROACTIVE THERAPY OF NORTH CAROLINA INC
20 W MEDICAL CT
MARION, NC 287524968
8286598049
Source: CMS National Downloadable File, September 2026.