Graduated: 1999
NPI: 1063594620
Practice Locations (2)
CAROLINAS PHYSICIANS NETWORK INC
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 282773373
CAROLINAS PHYSICIANS NETWORK INC
119 MARKET PLACE AVE, SUITE D
MOORESVILLE, NC 281179157
7048019140
Source: CMS National Downloadable File, September 2026.