Graduated: 2021
NPI: 1962926964
Practice Locations (2)
NOVANT HEALTH MEDICAL GROUP, LLC
200 HAWTHORNE LN
CHARLOTTE, NC 282042515
7043845416
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2528471757
Source: CMS National Downloadable File, September 2026.