Medical school: DUNHAM MEDICAL COLLEGE
Graduated: 1994
NPI: 1891762399
Practice Locations (3)
VIDANT MEDICAL GROUP LLC
2325 STANTONSBURG RD
GREENVILLE, NC 278347534
9197314048
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW
WILSON, NC 278938620
2522436818
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.