Graduated: 2003
NPI: 1902090335
Practice Locations (2)
VIDANT MEDICAL GROUP LLC
2325 STANTONSBURG RD
GREENVILLE, NC 278347534
9197314048
EAST CAROLINA UNIVERSITY
604 MEDICAL DR
GREENVILLE, NC 278347503
2528476600
Source: CMS National Downloadable File, September 2026.