Graduated: 2010
NPI: 1992008205
Practice Locations (2)
COASTAL FAMILY PRACTICE PLLC
820 W MAIN ST
BELHAVEN, NC 278101120
2529430056
VIDANT MEDICAL GROUP LLC
1380 COWELL FARM RD
WASHINGTON, NC 278893431
2529462101
Source: CMS National Downloadable File, September 2026.