Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2021
NPI: 1265010698
Practice Locations (2)
CAROLINAS MEDICAL CENTER
1000 BLYTHE BLVD
CHARLOTTE, NC 282035812
7043552000
WAKE FOREST EMERGENCY PROVIDERS
920 CHURCH ST N
CONCORD, NC 280252927
7044033000
Source: CMS National Downloadable File, September 2026.