Graduated: 2012
NPI: 1013949759
Practice Locations (2)
NOVANT HEALTH MEDICAL GROUP, LLC
10810 MALLARD CREEK RD
CHARLOTTE, NC 282629786
7045108000
EAGLE PHYSICIANS AND ASSOCIATES PA
5701 W FRIENDLY AVENEUE
GREENSBORO, NC 274104112
3362746515
Source: CMS National Downloadable File, September 2026.