Graduated: 1988
NPI: 1932191400
Practice Locations (2)
NOVANT HEALTH MEDICAL GROUP, LLC
10810 MALLARD CREEK RD
CHARLOTTE, NC 282629786
7045108000
FORSYTH MEMORIAL HOSPITAL INC
865 W LAKE DR
MOUNT AIRY, NC 270302157
3367196100
Source: CMS National Downloadable File, September 2026.