Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1093744096
Practice Locations (2)
DERMATOLOGIC SURGERY OF THE CAROLINAS LLC
15830 BALLANTYNE MEDICAL PL, SUITE 225
CHARLOTTE, NC 282770760
70491911055
DERMATOLOGIC SURGERY OF THE CAROLINAS LLC
420 HERLONG AVE S, SUITE 103
ROCK HILL, SC 297321091
70491911055
Source: CMS National Downloadable File, September 2026.