Graduated: 2018
NPI: 1194200626
Practice Locations (2)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 282042990
9804422000
CAROLINAS MEDICAL CENTER
1350 S KINGS DR
CHARLOTTE, NC 282072134
7043557328
Source: CMS National Downloadable File, September 2026.