Graduated: 2016
NPI: 1134679012
Practice Locations (2)
NOVANT HEALTH MEDICAL GROUP, LLC
10810 MALLARD CREEK RD
CHARLOTTE, NC 282629786
7045108000
LIBERTY HEALTHCARE GROUP LLC
119 W WADE ST
WADESBORO, NC 281702136
7046945992
Source: CMS National Downloadable File, September 2026.