Graduated: 2024
NPI: 1053149542
Practice Locations (2)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
1090 NE GATEWAY CT NE, SUITE 204
CONCORD, NC 280252423
7044037020
ATRIUM HEALTH SPECIALTY NETWORK INC
1090 NE GATEWAY CT NE, SUITE 204A
CONCORD, NC 280252414
7044039239
Source: CMS National Downloadable File, September 2026.