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NPI 1295481117 · on the registry since 2022

Practice

Address
900 Branchview Dr Ne Ste 200
Concord, NC 28025
Phone
(704) 780-4271
Fax
(888) 261-6694
Clinicians at this address
264

Additional practice sites

  • 145 Pitts School Rd Sw, Concord, NC

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina