Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1975
Offers telehealth
NPI: 1689786212
Practice Locations (1)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
181 DANIEL RD, SUITE 100
FOREST CITY, NC 280437151
9804429720
Source: CMS National Downloadable File, September 2026.