Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1760405369
Practice Locations (2)
BALLANTYNE EMERGENCY PHYSICIANS PLLC
11516 PROVIDENCE RD
CHARLOTTE, NC 282772691
7046670370
WAKE FOREST EMERGENCY PROVIDERS
920 CHURCH ST N
CONCORD, NC 280252927
7044033000
Source: CMS National Downloadable File, September 2026.