Graduated: 2025
NPI: 1710873054
Practice Locations (2)
CAROLINAS MEDICAL CENTER
1350 S KINGS DR
CHARLOTTE, NC 282072134
7043557328
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
920 CHURCH ST N
CONCORD, NC 280252927
7044031632
Source: CMS National Downloadable File, September 2026.