Graduated: 2023
NPI: 1598529448
Practice Locations (2)
THE PRESBYTERIAN HOSPITAL
125 QUEENS RD, SUITE 200
CHARLOTTE, NC 282043215
7043439800
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
2200 CROW LN, SUITE 303A
MYRTLE BEACH, SC 295771663
8438485000
Source: CMS National Downloadable File, September 2026.