Graduated: 2001
NPI: 1609061449
Practice Locations (3)
CAROLINA MEDICORP ENTERPRISES LLC
3836 CORNING PL
CHARLOTTE, NC 282161224
7043172108
FASTMED PC
391 GEORGE W LILES PKWY NW
CONCORD, NC 280278218
7048861780
FASTMED PC
7010 NC HWY 751
DURHAM, NC 277075733
9193133900
Source: CMS National Downloadable File, September 2026.