Graduated: 2012
NPI: 1336401900
Practice Locations (2)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
101 E W T HARRIS BLVD
CHARLOTTE, NC 282623443
7048630640
CAROLINAS PHYSICIANS NETWORK INC
200 W GROVER ST
SHELBY, NC 281503708
7044878591
Source: CMS National Downloadable File, September 2026.