Graduated: 2024
NPI: 1588476014
Practice Locations (4)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
101 E W T HARRIS BLVD
CHARLOTTE, NC 282623443
7048630640
CAROLINAS PHYSICIANS NETWORK INC
10650 PARK RD
CHARLOTTE, NC 282108538
7046673840
CAROLINAS MEDICAL CENTER
1350 S KINGS DR
CHARLOTTE, NC 282072134
7043557328
CAROLINAS PHYSICIANS NETWORK INC
200 MEDICAL PARK DR, SUITE 430
CONCORD, NC 280250939
7044035890
Source: CMS National Downloadable File, September 2026.