Graduated: 2003
NPI: 1568758027
Practice Locations (2)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
330 BILLINGSLEY RD, SUITE 102
CHARLOTTE, NC 282115055
7044442574
CAROLINAS MEDICAL CENTER
16740 DAVIDSON CONCORD RD
DAVIDSON, NC 280368746
7048019200
Source: CMS National Downloadable File, September 2026.