Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1801854302
Practice Locations (2)
CAROLINAS PHYSICIANS NETWORK INC
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 282773373
CAROLINAS PHYSICIANS NETWORK INC
613 E ROOSEVELT BLVD
MONROE, NC 281125124
7042838193
Source: CMS National Downloadable File, September 2026.