Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1962442723
Practice Locations (1)
PINEHURST MEDICAL CLINIC INC
200 PAVILION WAY
SOUTHERN PINES, NC 283874561
9102955511
Source: CMS National Downloadable File, September 2026.