Graduated: 2024
NPI: 1962116483
Practice Locations (2)
PHYSICIANS EAST PA
744 AIRPORT RD
KINSTON, NC 285048800
2525230026
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.