Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1679550180
Practice Locations (4)
PROACTIVE THERAPY OF NORTH CAROLINA INC
201 MCCULLOUGH DR
CHARLOTTE, NC 282623577
7045471129
PROACTIVE THERAPY OF NORTH CAROLINA INC
201 MCCULLOUGH DR, SUITE 310
CHARLOTTE, NC 282623577
7045471129
STONE INSTITUTE OF THE CAROLINAS LLC
215 S MAIN ST, SUITE 201
DAVIDSON, NC 280368039
7048962120
CAROLINA UROLOGY PARTNERS PLLC
128 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 281178521
7046603322
Source: CMS National Downloadable File, September 2026.