Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1974
NPI: 1962427021
Practice Locations (2)
MOSES CONE AFFILIATED PHYSICIANS, INC.
1309 N ELM ST
GREENSBORO, NC 274011005
3365445400
ACTIVE LIFE HEALTH OF GREENSBORO PLLC
1414 YANCEYVILLE ST, SUITE 200
GREENSBORO, NC 274056947
3364295993
Source: CMS National Downloadable File, September 2026.