Graduated: 1988
Also: GENERAL PRACTICE
NPI: 1346228012
Practice Locations (2)
6001 GRABURNS FORD DR
CHARLOTTE, NC 282697120
7048660101
LEGACY HEALTHCARE SERVICES INC
2701 PICKETT RD
DURHAM, NC 277055688
9194199600
Source: CMS National Downloadable File, September 2026.