Graduated: 2021
NPI: 1528667912
Practice Locations (2)
CAROLINAS PHYSICIANS NETWORK INC
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 282773373
CAROLINAS PHYSICIANS NETWORK INC
905 KENILWORTH AVE, SUITE A
CHARLOTTE, NC 282043584
7043553149
Source: CMS National Downloadable File, September 2026.