Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1679602957
Practice Locations (2)
10310 MALLARD CREEK RD, SUITE 101D
CHARLOTTE, NC 282624563
7047960899
4258 NC HWY 49 S, UNIT 400
HARRISBURG, NC 280750107
Source: CMS National Downloadable File, September 2026.