Graduated: 2019
NPI: 1922255512
Practice Locations (2)
UNIVERSAL HEALTH CORPORATION
204 DAIRY RD
CLAYTON, NC 275207216
5407693964
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
130 JAMES AVE
LOCUST, NC 280974506
7042964508
Source: CMS National Downloadable File, September 2026.