Graduated: 1989
NPI: 1174590590
Practice Locations (2)
CAROLINAS PHYSICIANS NETWORK INC
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 282773373
CAROLINAS PHYSICIANS NETWORK INC
10030 EDISON SQUARE DR NW, SUITE 100
CONCORD, NC 280278309
7044037830
Source: CMS National Downloadable File, September 2026.