Graduated: 2024
NPI: 1457197444
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
201 MCCULLOUGH DR, SUITE 310
CHARLOTTE, NC 282623577
7045471129
UROLOGY SPECIALISTS OF THE CAROLINAS PLLC
16455 STATESVILLE RD, SUITE 420
HUNTERSVILLE, NC 280787140
7048922949
Source: CMS National Downloadable File, September 2026.