Graduated: 2008
NPI: 1376705863
Practice Locations (2)
NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
10905 PROVIDENCE RD W
CHARLOTTE, NC 282773644
9804884000
THE PRESBYTERIAN HOSPITAL
200 HAWTHORNE LN
CHARLOTTE, NC 282042515
7043849073
Source: CMS National Downloadable File, September 2026.