Graduated: 2009
NPI: 1043440951
Practice Locations (2)
NOVANT HEALTH MEDICAL GROUP, LLC
10810 MALLARD CREEK RD
CHARLOTTE, NC 282629786
7045108000
NORTH CAROLINA MG LLC
4420 LAKE BOONE TRL, SUITE 203
RALEIGH, NC 276077505
9197842930
Source: CMS National Downloadable File, September 2026.