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NPI 1578364238 · on the registry since 2025

Practice

Address
10416 E Independence Blvd Ste 620
Matthews, NC 28105
Phone
(704) 882-4599
Clinicians at this address
2

Additional practice sites

  • 2115 E 7th St Ste 100, Charlotte, NC

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-20

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