Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1114906609
Practice Locations (3)
17724 JETTON GREEN LOOP
Cornelius, NC 280318882
402 S MAIN ST
RAEFORD, NC 283763223
111 E MARKET ST
BENNETTSVILLE, SC 295123126
9109296944
Source: CMS National Downloadable File, September 2026.