Graduated: 2004
NPI: 1487821419
Practice Locations (2)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
1001 BLYTHE BLVD
CHARLOTTE, NC 282035866
7043811450
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
275 HWY 16 N, SUITE 202
DENVER, NC 280373002
7047329843
Source: CMS National Downloadable File, September 2026.