Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1043849011
Practice Locations (3)
PO BOX
CHARLOTTE, NC 28296
PO BOX, SUITE 95590
South Jordan, UT 840950590
PO BOX, SUITE 95590
SOUTH JORDAN, UT 84095
Source: CMS National Downloadable File, September 2026.