Graduated: 2016
NPI: 1336503036
Practice Locations (2)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
1085 NE GATEWAY CT NE, SUITE 290
CONCORD, NC 280252412
7044034650
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
200 MEDICAL PARK DR
CONCORD, NC 280250933
Source: CMS National Downloadable File, September 2026.