Graduated: 1994
NPI: 1700077997
Practice Locations (2)
CAROLINAS PHYSICIANS NETWORK INC
905 KENILWORTH AVE, SUITE A
CHARLOTTE, NC 282043584
7043553149
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
200 MEDICAL PARK DR, SUITE 250
CONCORD, NC 280250933
7044032740
Source: CMS National Downloadable File, September 2026.