Graduated: 2022
NPI: 1013631100
Practice Locations (2)
ST. MARY'S MEDICAL MANAGEMENT, LLC
2828 1ST AVE, SUITE 200
HUNTINGTON, WV 257021236
3043997530
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
424 DIVISION ST
SOUTH CHARLESTON, WV 253091400
3047677870
Source: CMS National Downloadable File, September 2026.