About Us

At Cape Fear Arthritis Care, we understand that pain and injuries get in the way of life’s special moments, adventures, and simple pleasures. This is why we offer a different approach to aches and pains by providing combined treatment plans of physical therapy and mineral infusions. These services compliment traditional treatment options to give you the best possible outcome so you can enjoy today.

We are centrally and accessibly located minutes from downtown Wilmington, NC, in Leland at the entrance to the Waterford of the Carolinas home community. Our newly-renovated space – with a modern, comfortable lobby, soothing colors, and a water feature – reflect of our commitment to patient care that delivers the best treatment option while relieving pain and managing patient anxiety.

Our fully certified, secure, paperless electronic health records system allows patients to access lab results and other important health information online.

Cape Fear Arthritis Care - Dr. David Snow

David H. Snow, MD

Dr. Snow is a Board Certified Rheumatologist. He received his medical degree from The University of Toledo College of Medicine in 1990, completed Residency in Internal Medicine at Allegheny General Hospital-Western Pennsylvania Hospital in 1993 and Fellowship in Rheumatology at University of Pittsburgh Medical Center 1995. He has been in private practice since.

Dr. Snow has been married to his wife Daphne since 1990. They have three children. He loves to spend time with his family- snowboarding, boating, biking enjoying the outdoors. He is very dedicated to supporting his community, high school athletics, Arthritis Foundation Walk and his church and the church youth group. He is the co-chair of the Greek Festival at St. Nicholas Greek Orthodox Church. In 2013, he was named the Medical Honoree for the Arthritis walk. His professional memberships include American College of Rheumatology (ACR) and North Carolina Rheumatology Association (NCRA), of which he served as treasurer.

Cape Fear Arthritis Care - Cara Bailey

Cara Bailey, PA-C

Cara Bailey is a certified Physician Assistant, born and raised in Raleigh, North Carolina. She received her physician assistant degree from East Carolina University in December of 2014. She spent four wonderful years here on the North Carolina coast completing her undergraduate degree in Biology at UNCW.

She is thrilled to return to this beautiful area to serve the patients at Cape Fear Arthritis Care. Cara has always been passionate about rheumatology patients, as she was diagnosed with juvenile rheumatoid arthritis at a young age. She desires to use her personal experience in order to relate to and care for her patients in a unique way.

In her free time, she loves to spend time with family, friends, and her Australian shepherd puppy. She also enjoys playing volleyball and basketball, going to the beach, and traveling to places where the weather is always warm.

Cape Fear Arthritis Care - Richard Ulstad

Richard Ulstad, PA-C

Richard Ulstad is a Certified Physician Assistant in the Wilmington area in private practice for the past 20 years. With accumulated decades of provider experience, including in Orthopedics and Internal Medicine, and as a Certified Clinical Bone Densitometrist treating and preventing osteoporosis and osteopenia, he is very excited to be part of the Rheumatological family here at Cape Fear Arthritis Care!

Born in Cleveland, Ohio, and after graduating from Gilmour Academy, he accrued extensive medical training at The University of Rochester in New York. He was honored a full scholarship via the National Health Service Core to Northeastern University in Boston, Massachusetts in 1999 to complete the PA Medical Program. Furthermore, he has fortified leadership roles in city, state, and national societies.

Personally, he has been married to his wife Melissa, also a Physician Assistant, since 2003, and they have two children, Jack 14 and Alex 12. He sincerely loves Southeastern North Carolina and also thrives on devoting his time to coaching his kids AAU basketball teams, doing any outdoor activities year round, and traveling.

Cape Fear Arthritis Care - Dr. Abbey McClanahan

Abbey McClanahan, PT, DPT

Dr. McClanahan received her Bachelor of Science in Kinesiology with a concentration in Exercise Science from Liberty University in 2010. She received her Doctor of Physical Therapy degree from Lynchburg College in 2013.

Her areas of interest include general rheumatologic and orthopedic conditions, fall risk and gait and balance, as well as sports medicine rehabilitation. She also has worked patients with post-concussion symptoms and worked with Liberty University Division 1 Athletics and Club Sports as a part of their Sports Medicine Team.

She enjoys home design, DIY, and crafting in her free time along with spending time with her husband, Daniel and son, Owen.

Cape Fear Arthritis Care Staff

Daphne Snow

Daphne is the proud mother of three children Christopher, Cassie and Connor. She and Dr. Snow have been happily married since 1990. She attended the University of Toledo where she earned a Master of Science in Biomedical Sciences (Anatomy), and Wheaton College (Norton, MA) where she received a degree of Bachelor of Arts. Daphne is very active in her church community of St. Nicholas Greek Orthodox church, she enjoys spending time with her family and friends, taking family trips and lazy weekends. As of 2014 she has enjoyed working with her husband and the Cape Fear Arthritis Care family.

Chief Operating Officer

Connie Moscati

The Director of Business Operations for Cape Fear Arthritis Care. She received her B.A. in Economics from the University of Maryland at College Park and has been in the healthcare field since 1987. For the past 20 years, she has worked with major healthcare insurance companies and has been a Medical Practice Administration specialist in the Washington, D.C. metro area and in eastern North Carolina. She received her Certified Professional Coder (CPC) credentials in 2004 and is an experienced biller/coder/auditor in the specialties of Orthopedics, Internal Medicine, Pulmonology, OB/GYN, Physical Therapy and Rheumatology. In her spare time she enjoys singing, going to the beach, mentoring at-risk youth and reading about United States history. She is the proud mother of one son, a graphic designer who created our logo!

Director of Business Operations

Leslie Carlton

Clinical supervisor for Cape Fear Arthritis Care. She received her Associates of Applied Science degree and Medical Assistant Certification in 1996 from Miller Motte. Leslie has worked with Dr. Snow for 17 years and couldn't imagine working any where else. She is a member of the Rheumatology nurses society. In her free time she enjoys spending time with her family, cooking, reading and vacationing in the mountains.

Clinical Supervisor

Cassie Snow

Graduated from the University of North Carolina in 2017 with a B.S. in Psychology and a B.A. in Exercise and Sport Science. She is hoping to pursue a Master’s in Public Health, as she is passionate about creating health policies that will promote overall health and well-being in the population. At Cape Fear Arthritis Care, she sits at the front desk and supervises patient relations in the office. In her free time she enjoys traveling, going to the beach, spending time with her pup, Kobe, and reading history novels.

Patient Relations Supervisor

Suzanne Szalkiewicz

Graduated from the University of North Carolina Wilmington with a bachelor’s degree in Social Work. She has worked several years with children in foster care. At Cape Fear Arthritis Care, Suzanne assists with patient relations. She has over 15 years of medical reception experience at multi-specialty practices such as infectious disease, cardiology and surgery. Suzanne is a native North Carolinian and in her free time she enjoys spending time with her family, boating and hiking.

Patient Relations

Connor Snow

Currently pursuing a degree in Medical Office Administration at Cape Fear Community College. In the office, he works with insurance companies and consults patient portal needs and overall makes sure that everything runs smoothly for our new patients behind the scenes. During his time at Cape Fear Arthritis Care, he has become passionate about practice administration and hopes to one day become a Practice Administrator. In his free time he enjoys spending time with family and friends, playing video games and board games, snowboarding and surfing.

Administrative Specialist

Kathyrn Stemwede

Recently relocated from New York, she spent eight years as an Account Manager for Murphy Healthcare Group, managing and improving profitability at Ambulatory Surgical Centers across the country. She is the reimbursement specialist for Cape Fear Arthritis Care, responsible for all billing and accounts receivable functions of the practice helping patients understand and manage their healthcare costs. Kathryn has several years of experience with medical billing, coding and revenue cycle management. In her free time she enjoys gardening, reading suspense novels and spending time at the beach.

Reimbursement Specialist

Katherine Teal

Graduated with her nursing degree from the ADN program at Cape Fear Community College, which has been ranked #1 in the state of North Carolina. She has been in the medical field since 1998 and has been infusing Rheumatology patients for eleven years. At Cape Fear Arthritis Care, she is committed to providing the most comprehensive care while utilizing the most up-to-date infusion and injection therapies for a variety of Rheumatological conditions. In her free time she enjoys spending time with family, loving on her grandchildren and running her own photography business.

Registered Infusion Nurse

Debora Marshall

At Cape Fear Arthritis Care, Debora is one of the Certified Medical Assistants. She has a previous background in customer service which helps her communicate and be closer to the patients. She studied and graduated from Miller Motte College. In her free time, Debora enjoys reading, painting, going to the beach and living an overall healthy lifestyle.

Certified Medical Assistant

Brenda Lamb

Brenda joined the Cape Fear Arthritis Care Team in January 2019. She has been in the medical field for about 20 years. She received a bachelor's degree from Mount Olive College in Health Care Administration in 2016. In her free time, she enjoys spending time with family and friends. Most of all, she loves shopping. She said the friendly faces at Cape Fear Arthritis have made the transition here a pleasurable experience.

Medical Assistant (MA)

Megan Ann Sheets

As a Registered Diagnostic Medical Sonographer for Cape Fear Arthritis Care, she performs musculoskeletal ultrasounds to help evaluate and diagnose individuals suffering with arthritis and joint discomfort. She has experience performing abdominal, gynecological and vascular ultrasounds. Megan’s passion is to do her work to the best of her ability in order to help improve the lives of others. In her spare time she enjoys competitive outdoor sports/activities, reading, painting and spending time with her fiance and two dogs.

Registered Diagnostic Medical Sonographer (RDMS)

Jessica Martin

Graduated from Thomas Jefferson University with a Master’s degree in Medical Laboratory Science. As a Medical Laboratory Scientist at Cape Fear Arthritis Care, Jessica provides physicians with crucial test results to diagnose and treat patients. For the past 10 years, she has worked in laboratories performing high complexity testing in immunology, hematology and chemistry. In her spare time, Jessica enjoys playing tennis and spending time with family.

Medical Technologist

Olivia Beadle

Graduated from the University of North Carolina in 2014 with a bachelor’s degree in Exercise and Sport Science. As a Clinical Research Coordinator at Cape Fear Arthritis Care, Olivia, along with other research staff, oversee the production of 12 clinical trials. She assists in subject recruitment, completion of study visits, data recording and processing and lab shipment processing, all while maintaining adequate records for each study sponsor. Olivia recently obtained her certification, giving her the title of Certified Clinical Research Coordinator (CCRC). Olivia plans to make a career out of research and would love to move up in the field as much as she can! In her free time she enjoys creating, exercising, playing with her German Shepherd and kayaking with her husband.

Certified Clinical Research Coordinator (CCRC)

Chelsea Tomko

Graduated from the University of North Carolina Wilmington with a bachelor’s degree in Community Health Education. After graduation, she took a position as a pharmacy technician, which sparked her interest in researching new medications. As a Clinical Research Coordinator at Cape Fear Arthritis Care, Chelsea, along with other research staff, oversee the production of 12 clinical trials. She assists in subject recruitment, completion of study visits, data recording and processing and lab shipment processing, all while maintaining adequate records for each study sponsor. Chelsea enjoys her role here because it allows her to help patients and learn about new medications. In her free time she enjoys home renovation projects, crafting, gardening and spending time with her two dogs, Sadie and Nova.

Clinical Research Coordinator

Kobe

A 9 year old yellow lab that is a certified therapy dog and brings joy to the patients in our office. He greets patients at the door, shows off his many toys and begs for belly rubs. He will never fail to make you smile! In his free time he enjoys spending time with his humans, going to the beach and swimming. One of his most impressive talents is seeing how many toys he can fit into his mouth at one time: so far it is 5!

Therapy Dog