Graduated: 2021
NPI: 1679142558
Practice Locations (2)
CAROLINAS PHYSICIANS NETWORK INC
10628 PARK RD
CHARLOTTE, NC 282108407
7046677070
CHI HEALTH CLINIC SPECIALTY LLC
555 S 70TH ST, ST ELIZABETH REGIONAL MED CENTER
LINCOLN, NE 685102462
4022198000
Source: CMS National Downloadable File, September 2026.