Graduated: 2021
NPI: 1831799477
Practice Locations (2)
CAROLINA MEDICORP ENTERPRISES LLC
11840 SOUTHMORE DR, SUITE 100
CHARLOTTE, NC 282774821
7043847976
WAKE FOREST EMERGENCY PROVIDERS
1200 N ELM ST
GREENSBORO, NC 274011004
3367162255
Source: CMS National Downloadable File, September 2026.