Graduated: 2004
NPI: 1992772073
Practice Locations (4)
2221 PAULS PENNY LN
RALEIGH, NC 276035845
3205 RANDALL PKWY, SUITE 105
WILMINGTON, NC 284032561
1124 HWY 11
Landrum, SC 293568989
4055 VALLEY VIEW LN
DALLAS, TX 752444910
Source: CMS National Downloadable File, September 2026.