Graduated: 2016
NPI: 1386168565
Practice Locations (3)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
10628 PARK RD
CHARLOTTE, NC 282108407
7046671000
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
10660 PARK RD, SUITE 1100
CHARLOTTE, NC 282108407
9804425400
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
275 HWY 16 N, SUITE 202
DENVER, NC 280373002
7047329843
Source: CMS National Downloadable File, September 2026.