Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1902209836
Practice Locations (2)
317 HOLDSWORTH DR
MOUNT HOLLY, NC 281208711
3176946533
975 MARKET ST, SUITE 201D
FORT MILL, SC 297086531
3176946533
Source: CMS National Downloadable File, September 2026.