Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1457080418
Practice Locations (2)
CAROLINAS PHYSICIANS NETWORK INC
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 282773373
CAROLINAS PHYSICIANS NETWORK INC
2041 S BLVD, SUITE 100
CHARLOTTE, NC 282035775
7043040140
Source: CMS National Downloadable File, September 2026.