Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1981
NPI: 1275504938
Practice Locations (2)
15720 BRIXHAM HILL AVE
CHARLOTTE, NC 282774784
15720 BRIXHAM HILL AVE, SUITE 130
CHARLOTTE, NC 282774784
7045415555
Source: CMS National Downloadable File, September 2026.