Graduated: 2004
NPI: 1841494416
Practice Locations (4)
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2528471757
ALTRU HEALTH SYSTEM
1200 S COLUMBIA RD
GRAND FORKS, ND 582014036
7017805000
ALTRU HEALTH SYSTEM
1380 S COLUMBIA RD
GRAND FORKS, ND 582014059
7017952000
ALTRU HEALTH SYSTEM
4440 S WASHINGTON ST
GRAND FORKS, ND 582017245
7017805000
Source: CMS National Downloadable File, September 2026.