Graduated: 2020
NPI: 1083239545
Practice Locations (2)
SOUTHERN DERMATOLOGY PA
6701 CARMEL RD, SUITE 116
CHARLOTTE, NC 282263953
9102519944
SOUTHERN DERMATOLOGY PA
4201 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 276077511
9197822152
Source: CMS National Downloadable File, September 2026.