Graduated: 2013
NPI: 1902243819
Practice Locations (3)
GRANVILLE HEALTH SYSTEM
1010 COLLEGE ST
OXFORD, NC 275652507
9196903237
WAKEMED SPECIALISTS GROUP LLC
3000 NEW BERN AVE
RALEIGH, NC 276101231
9193507270
NORTH CAROLINA MG LLC
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
9842154000
Source: CMS National Downloadable File, September 2026.