Graduated: 2009
NPI: 1962630285
Practice Locations (3)
NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
10905 PROVIDENCE RD W
CHARLOTTE, NC 282773644
9804884000
THE PRESBYTERIAN HOSPITAL
200 HAWTHORNE LN
CHARLOTTE, NC 282042515
7043849073
MUSC COMMUNITY PHYSICIANS
800 W MEETING ST
LANCASTER, SC 297202202
8032861330
Source: CMS National Downloadable File, September 2026.