Graduated: 2020
NPI: 1013694652
Practice Locations (2)
COMMUNITY CARE OF WEST VIRGINIA, INC.
122 CTR ST
CLAY, WV 250437046
3045877301
MEDITELECARE OF WEST VIRGINIA PLLC
100 HILLCREST DR
WILLIAMSON, WV 256613948
8327420117
Source: CMS National Downloadable File, September 2026.