Graduated: 2012
NPI: 1982037172
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
2701 PICKETT RD
DURHAM, NC 277055688
9194199600
NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC
1960 S 16TH ST
WILMINGTON, NC 284016676
9106626000
Source: CMS National Downloadable File, September 2026.