Graduated: 1999
NPI: 1730306655
Practice Locations (2)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 282042990
9804422000
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
275 HWY 16 N, SUITE 202
DENVER, NC 280373002
7047329843
Source: CMS National Downloadable File, September 2026.