Graduated: 2019
NPI: 1073142782
Practice Locations (4)
CAROLINAS MEDICAL CENTER
1000 BLYTHE BLVD
CHARLOTTE, NC 282035812
7043552000
PROACTIVE THERAPY OF NORTH CAROLINA INC
201 MCCULLOUGH DR, SUITE 310
CHARLOTTE, NC 282623577
7045471129
CAROLINAS PHYSICIANS NETWORK INC
3030 RANDOLPH RD, SUITE 105
CHARLOTTE, NC 282111365
7048634878
CAROLINAS PHYSICIANS NETWORK INC
5651 POPLAR TENT RD, SUITE 102
CONCORD, NC 280277686
7047824878
Source: CMS National Downloadable File, September 2026.