10926 S Tryon St Ste D Charlotte, NC 28273-4154 (980) 224-7288
Enumerated
Jun 11, 2007
Record last updated
Aug 16, 2024
License states listed
NC
Medicare (CMS)
Enrollment
Medicare-enrolled in CT, DE, FL, GA, IL, IN, KS, NC, OH, PA, SC, TX, VA Critical Care (Intensivists), Emergency Medicine, Hospitalist, Internal Medicine
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.