Graduated: 2013
NPI: 1083055396
Practice Locations (2)
NOVANT HEALTH MEDICAL GROUP, LLC
10810 MALLARD CREEK RD
CHARLOTTE, NC 282629786
7045108000
NOVANT HEALTH MEDICAL GROUP, LLC
390 W SALEM AVE
WINSTON SALEM, NC 271015861
3367212375
Source: CMS National Downloadable File, September 2026.