Graduated: 2020
NPI: 1063976421
Practice Locations (2)
CAROLINAS PHYSICIANS NETWORK INC
10650 PARK RD, SUITE 220
CHARLOTTE, NC 282108542
7046673840
NORTH CAROLINA MG LLC
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 275774407
9842154000
Source: CMS National Downloadable File, September 2026.