Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1942298757
Practice Locations (2)
920 CHURCH N ST
CONCORD, NC 280252927
7044033000
COUNTY OF ROWAN
1811 E INNES ST
SALISABURY, NC 281466030
7042168777
Source: CMS National Downloadable File, September 2026.