Graduated: 2021
NPI: 1194471748
Practice Locations (2)
CAROLINA MEDICORP ENTERPRISES LLC
13129 S TRYON ST, SUITE 120
CHARLOTTE, NC 282787915
9803374662
CAROLINAS PHYSICIANS NETWORK INC
14214 BALLANTYNE LAKE RD, SUITE 100
CHARLOTTE, NC 282773373
7046672650
Source: CMS National Downloadable File, September 2026.